Benjamin Krpichak, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

4301078415 Issued in MI

Practice address

20905 Greenfield Road
Southfield, MI 48075-5344

Phone

(248) 827-7200

Fax

(248) 827-2641

NPI assigned

Jul 10, 2006

Last updated

Jun 8, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northland Radiology IncGroup PAC ID 7719884741, 16 clinicians

Dearborn Physical Therapy LTDGroup PAC ID 2668383910, shared by 2 NPIs, 97 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Northland Radiology Inc

  • Diagnostic Radiology Physician
  • Southfield, MI
  • NPI 1386804060

  Physical Medicine & Rehabilitation

  Medicare reassignment Care Compare group NPD
• NDS Radiology Inc.

  dba National Diagnostic Services

  • Diagnostic Radiology Physician
  • Novi, MI
  • NPI 1649418211
  Medicare reassignment NPD
• Northland Radiology Inc.

  • Physical Medicine & Rehabilitation Physician
  • Southfield, MI
  • NPI 1225652993
  NPD
• NDS Radiology PLLC

  dba National Diagnostic Services

  • Clinic/Center
  • Novi, MI
  • NPI 1548259948
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1194759555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26222 TELEGRAPH ROAD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480335318",
            "telephone_number": "248-827-7200",
            "fax_number": "248-827-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20905 GREENFIELD ROAD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755344",
            "telephone_number": "248-827-7200",
            "fax_number": "248-827-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRPICHAK",
        "first_name": "BENJAMIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301078415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4781266",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isabella Gabrielle Kritzman
• Michael Krivichkin, DDS
• Oleg Krivichkin, D.D.S.
• Kroger Co of Michigan (Kroger Pharmacy)
• Jonathan Arie Kroll, M.D.
• Anna Kruger
• Katelyn Kruger
• Kyia Krul
• Madison Krulicki
• Michael W Krupic, DPM

• Physical Medicine & Rehabilitation Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.

Verify at the official NPI Registry.