Individual provider Active NPI

Gregory A Krynski, M.D.

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1245239326
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J2454 Issued in TX
Practice address
6060 Bellaire Blvd Ste a
Houston, TX 77081-5425
Phone
(281) 501-1999
Fax
(281) 501-8543
NPI assigned
Jul 20, 2005
Reactivated
Apr 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X J2454 TX
Internal Medicine Physician 207R00000X J2454 TX Primary

Addresses

Primary practice location

6060 Bellaire Blvd Ste a
Houston, TX 77081-5425

Mailing address

1208 Highway 6 Ste B
Sugar Land, TX 77478-4903
Phone (281) 456-4143

Other practice location 1

1208 Highway 6 Ste B
Sugar Land, TX 77478-4903
Phone (281) 456-4143

Other identifiers 1

IdentifierTypeStateIssuer
127551304MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20100928000297 TX Practitioner - Internal Medicine 9234255225 Practice locations: Sugar Land, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: gregorya.krynski@direct.memorialhermann.org

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1245239326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 HIGHWAY 6 STE B",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784903",
            "telephone_number": "281-456-4143",
            "fax_number": "281-494-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 BELLAIRE BLVD STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770815425",
            "telephone_number": "281-501-1999",
            "fax_number": "281-501-8543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1208 Highway 6 Ste B",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774784903",
            "country_code": "US",
            "telephone_number": "281-456-4143",
            "fax_number": "281-494-0026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRYNSKI",
        "first_name": "GREGORY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "J2454",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J2454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127551304",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.