Active NPI
Michael J Kricko, DO
- Internal Medicine Physician
- Newport, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 22549
- Practice address
- 11 John Stark Hwy
Newport, NH 03773-1807 - Phone
- (603) 863-4100
- Fax
- (603) 863-8074
- NPI assigned
- Sep 29, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS13691 | FL | |
| Internal Medicine Physician | 207R00000X | 22549 | NH | Primary |
Addresses
Primary practice location
11 John Stark Hwy
Newport, NH 03773-1807
Mailing address
273 County Rd
New London, NH 03257-7700
Phone (603) 526-5259
Other practice location 1
273 County Rd
New London, NH 03257-7700
Phone (603) 526-2911
Other practice location 2
273 County Rd
New London, NH 03257-7700
Phone (603) 526-2911
Other practice location 3
2004 N Flamingo Rd
Pembroke Pines, FL 33028-3500
Phone (954) 450-8500
Other practice location 4
4780 SW 64th Ave Ste 101
Davie, FL 33314-4400
Phone (954) 434-1705
Other practice location 5
1604 Town Center Blvd Ste 4B
Weston, FL 33326-3640
Phone (954) 384-1800
Other practice location 6
4801 S University Dr Ste 110
Davie, FL 33328-3835
Phone (954) 434-1705
Other practice location 7
2122 NW 62nd Street
Suite 110
Fort Lauderdale, Florida 33309
Phone (954) 353-3180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3133928 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Michigan Homeopathic Medical School, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11 John Stark Hwy
Newport, NH 03773-1807
Phone (603) 526-5215
273 Country Rd
New London, NH 03257-5736
Phone (603) 526-5215
Hospital & facility affiliations
- Lake Sunapee Home Care & Hospice
- New London Hospital
- Valley Regional Hospital
- Mary Hitchcock Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.66 of 100
- Quality
- 53.51
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22549 | NH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The New London Hospital Association, Inc. | Current | Accepting new patients | |
| Associatesmd Medical Group Inc | Current | Accepting new patients | |
| The New London Hospital Association, Inc. | Current | Accepting new patients | |
| The New London Hospital Association, Inc. | Internal Medicine | Current | Accepting new patients |
Locations
4780 SW 64th Ave
Ste 101
Davie, FL 33314
4780 SW 64th Ave
Ste 103
Davie, FL 33314
4801 S University Dr
Ste 110
Davie, FL 33328
Phone (954) 434-8588
2122 W Cypress Creek Rd
Ste 110
Ft Lauderdale, FL 33309
Phone (954) 353-3180
2004 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 450-8500
1604 Town Center Blvd
Ste 4B
Weston, FL 33326
Phone (954) 384-1800
273 County Rd
New London, NH 03257
Phone (603) 526-5215
11 John Stark Hwy
Newport, NH 03773
Phone (603) 526-5203
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JIDJCA
- mkricko463384@direct.dartmouth-hitchcock.org
Organizations & group practices 4
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.
-
- Critical Access Hospital
- New London, NH
- NPI 1831200583
Internal Medicine
-
- Ambulance
- New London, NH
- NPI 1639610611
-
- Multi-Specialty Clinic/Center
- Newport, NH
- NPI 1770684672
-
- Family Medicine Physician
- Davie, FL
- NPI 1558900472
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- New London, NH
- NPI 1518953397
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1629788237
-
- Critical Access Hospital
- New London, NH
- NPI 1831200583
-
- Critical Access Hospital
- Claremont, NH
- NPI 1306933619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666915200000",
"number": "1215029905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "273 COUNTY RD",
"city": "NEW LONDON",
"state": "NH",
"postal_code": "032577700",
"telephone_number": "603-526-5259",
"fax_number": "603-526-5290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 JOHN STARK HWY",
"city": "NEWPORT",
"state": "NH",
"postal_code": "037731807",
"telephone_number": "603-863-4100",
"fax_number": "603-863-8074"
}
],
"practiceLocations": [
{
"address_1": "273 County Rd",
"address_purpose": "LOCATION",
"city": "New London",
"state": "NH",
"postal_code": "032577700",
"country_code": "US",
"telephone_number": "603-526-2911",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "273 County Rd",
"address_purpose": "LOCATION",
"city": "New London",
"state": "NH",
"postal_code": "032577700",
"country_code": "US",
"telephone_number": "603-526-2911",
"fax_number": "603-526-5290",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2004 N Flamingo Rd",
"address_purpose": "LOCATION",
"city": "Pembroke Pines",
"state": "FL",
"postal_code": "330283500",
"country_code": "US",
"telephone_number": "954-450-8500",
"fax_number": "954-450-8502",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4780 SW 64th Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Davie",
"state": "FL",
"postal_code": "333144400",
"country_code": "US",
"telephone_number": "954-434-1705",
"fax_number": "954-434-1882",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1604 Town Center Blvd Ste 4B",
"address_purpose": "LOCATION",
"city": "Weston",
"state": "FL",
"postal_code": "333263640",
"country_code": "US",
"telephone_number": "954-384-1800",
"fax_number": "954-384-1802",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4801 S University Dr Ste 110",
"address_purpose": "LOCATION",
"city": "Davie",
"state": "FL",
"postal_code": "333283835",
"country_code": "US",
"telephone_number": "954-434-1705",
"fax_number": "855-545-1342",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2122 NW 62nd Street",
"address_2": "Suite 110",
"address_purpose": "LOCATION",
"city": "Fort Lauderdale",
"state": "Florida",
"postal_code": "33309",
"country_code": "US",
"telephone_number": "954-353-3180",
"fax_number": "954-353-3185",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRICKO",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2022-10-28",
"certification_date": "2022-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS13691",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NH",
"license": "22549",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3133928",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.