NPIMap

Organization Active NPI

Andrew E Krupitsky DO PA

Doing business as Altamonte Family Practice

  • Neuromusculoskeletal Medicine & OMM Physician
  • Altamonte Springs, FL
National Provider Identifier
1245336239
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
OS 5574 Issued in FL
Legal business name
ANDREW E KRUPITSKY DO PA
Doing business as
Altamonte Family Practice
Practice address
249 Maitland Ave
Suite 1000
Altamonte Springs, FL 32701-4906
Phone
(407) 332-6366
Fax
(407) 830-4300
NPI assigned
Sep 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Andrew E Krupitsky, D.O.NPI 1104936798
Title
President
Phone
(407) 332-6366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204D00000X OS 5574 FL Primary

Addresses

Primary practice location

249 Maitland Ave
Suite 1000
Altamonte Springs, FL 32701-4906

Mailing address

249 Maitland Ave
Suite 1000
Altamonte Springs, FL 32701-4906
Phone (407) 332-6366

Other names 1

  • Altamonte Family Practice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061208000024 FL Part B Supplier - Clinic/Group Practice 1153320726 Receives reassigned benefits from 11 practitioners
Practice locations: Altamonte Springs, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0272999Altamonte Family Practice249 Maitland Avenue Ste 1000, Altamonte Springs, FL 32701Certificate of waiverNov 1, 2027

National Provider Directory

National Provider Directory

Locations

249 Maitland Ave
Ste 1000
Altamonte Springs, FL 32701
Phone (407) 332-6366

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12693/brand/2/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245336239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 MAITLAND AVE",
            "address_2": "SUITE 1000",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014906",
            "telephone_number": "407-332-6366",
            "fax_number": "407-830-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 MAITLAND AVE",
            "address_2": "SUITE 1000",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014906",
            "telephone_number": "407-332-6366",
            "fax_number": "407-830-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW E KRUPITSKY DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRUPITSKY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-332-6366",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "FL",
            "license": "OS 5574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Altamonte Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.