Michael Gene Krupa

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

23 Bradston St
Boston, MA 02118-2703

Phone

(617) 318-6480

NPI assigned

Jan 14, 2020

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• HCRC

  • Substance Abuse Rehabilitation Facility
  • Boston, MA
  • NPI 1689254898
  NPD
• Community Health Care, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Westfield, MA
  • NPI 1912980251
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 14, 2020.

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1164062519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 BAKERSFIELD ST APT 3",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021251929",
            "telephone_number": "857-244-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BRADSTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182703",
            "telephone_number": "617-318-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUPA",
        "first_name": "MICHAEL",
        "middle_name": "GENE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Edward Krukonis, PA-C
• Aaron Krumheuer, MD
• Ilana Roberts Krumm, MD
• Molly Marguerite Krumpelbeck, DPT
• Martin J Krupa, M.D.
• Susan Lee Krupnick, NP
• Sierra Lyn Kruser, PA-C
• Jonathan Bruce Kruskal, MD PHD
• Alison Kate Krustapentus, FNP
• Julie Ann Krutiak, MD

• All providers in Boston, MA
• Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.