Devora Sara Krupka, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

019126 Issued in NY

Practice address

2401 W Belvedere Ave
Baltimore, MD 21215-5216

Phone

(410) 601-9000

NPI assigned

Feb 10, 2016

Last updated

Apr 9, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Devora Sara Gelbfish Former name

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Orthopaedics Andsports Medicine,PCGroup PAC ID 1052391430, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Premier Orthopaedics &Sports Medicine,PC

  • Orthopaedic Surgery Physician
  • Cliffside Park, NJ
  • NPI 1386758423
  Medicare reassignment Care Compare group
• Refuah Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Spring Valley, NY
  • NPI 1669470019
  Medicare reassignment
• Hand & Trauma Institute

  • Surgery of the Hand (Surgery) Physician
  • Cliffside Park, NJ
  • NPI 1053581074
  NPD (past)

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491696000000",
    "number": "1205294808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 APOLLO DR APT C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W BELVEDERE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155216",
            "telephone_number": "410-601-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUPKA",
        "first_name": "DEVORA",
        "middle_name": "SARA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-10",
        "last_updated": "2017-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "019126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEVORA",
            "last_name": "GELBFISH",
            "middle_name": "SARA",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy V. Krulak, LCSW-C
• Jeffrey Allen Krum, DPT
• Allan Krumholz, M.D.
• Scott Michael Krummey, M.D., PH.D.
• Catherine Krumrine
• Alexander S. Krupnick, MD
• Alice Irene Krupski, R.D.
• Allison Kruse, MSN, CRNP-AC
• Matthew Jay Kruse
• Luisa Kruter

• Physician Assistant in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2017; 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.