Active NPI
Andrew Kurkiewicz, PA
- Physician Assistant
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 125 S Kalamazoo Mall
Suite 204
Kalamazoo, MI 49007-4832 - Phone
- (269) 343-3900
- Fax
- (269) 343-5640
- NPI assigned
- Jun 21, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
125 S Kalamazoo Mall
Suite 204
Kalamazoo, MI 49007-4832
Mailing address
125 S Kalamazoo Mall
Suite 204
Kalamazoo, MI 49007-4832
Phone (269) 343-3900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, NY, IL, IN, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1131 M 32
Alpena, MI 49707-8222
Phone (989) 250-1925
1261 N Telegraph Rd
Monroe, MI 48162-3368
Phone (734) 265-9123
1803 M
Suite 139
Benton Harbor, MI 49022-6103
Phone (269) 487-3021
25 Columbia Ave E
Battle Creek, MI 49015-3703
Phone (269) 425-3017
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hometown Urgent Care of Michigan, P.C. | Current | Accepting new patients | |
| Bronson Methodist Hospital | Physician Assistant | Current | Accepting new patients |
| Bronson Methodist Hospital | Physician Assistant | Past | Accepting new patients |
Locations
1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835
6220 W Main St
Kalamazoo, MI 49009
Phone (269) 276-4744
601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100
5121 S Westnedge Ave
Portage, MI 49002
Phone (269) 337-2110
Organizations & group practices 8
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.
-
- Physician Assistant
- Kalamazoo, MI
- NPI 1013089820
-
- Emergency Medical Services (Emergency Medicine) Physician
- Kalamazoo, MI
- NPI 1013021310
-
- Urgent Care Clinic/Center
- Huber Heights, OH
- NPI 1790030385
MI
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1205814118
-
- Clinical Medical Laboratory
- Kalamazoo, MI
- NPI 1891469631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340236800000",
"number": "1174886493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 S KALAMAZOO MALL",
"address_2": "SUITE 204",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490074832",
"telephone_number": "269-343-3900",
"fax_number": "269-343-5640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 S KALAMAZOO MALL",
"address_2": "SUITE 204",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490074832",
"telephone_number": "269-343-3900",
"fax_number": "269-343-5640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURKIEWICZ",
"first_name": "ANDREW",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-21",
"last_updated": "2012-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.