Active NPI
Kristopher Dombrowski, N.P.
- Family Nurse Practitioner
- Rochester Hills, MI
National Provider Identifier
1265139158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704294153
- Practice address
- 1266 Walton Blvd
Rochester Hills, MI 48307-6900 - Phone
- (248) 710-2900
- Fax
- (248) 710-2905
- NPI assigned
- Feb 10, 2023
- Last updated
- Feb 16, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704294153 | MI | Primary |
Addresses
Primary practice location
1266 Walton Blvd
Rochester Hills, MI 48307-6900
Mailing address
1266 Walton Blvd
Rochester Hills, MI 48307-6900
Phone (248) 710-2900
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pro-Health Medical, P.C. | Past | Accepting new patients | |
| Pro-Health Medical FP | Past | Accepting new patients |
Interoperability endpoints
- kristopher.dombrowski.1@27934.direct.athenahealth.com
Organizations & group practices 3
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.
-
dba Pro- Health Urgent Care
- Urgent Care Clinic/Center
- Rochester Hills, MI
- NPI 1649781733
-
- Primary Care Clinic/Center
- Lake Orion, MI
- NPI 1740841451
-
- Internal Medicine Physician
- Rego Park, NY
- NPI 1104124841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708041600000",
"number": "1265139158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1266 WALTON BLVD",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483076900",
"telephone_number": "248-710-2900",
"fax_number": "248-710-2905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1266 WALTON BLVD",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483076900",
"telephone_number": "248-710-2900",
"fax_number": "248-710-2905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMBROWSKI",
"first_name": "KRISTOPHER",
"name_prefix": "Mr.",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-02-10",
"last_updated": "2024-02-16",
"certification_date": "2024-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704294153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.