Active NPI
Patrice Genevieve Kruszewski, D.O.
- Pediatrics Physician
- Columbus, OH
National Provider Identifier
1316140833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C7-0003834
- Practice address
- 700 Children's Dr
Nationwide Childrens Hospital
Columbus, OH 43205 - Phone
- (614) 722-2000
- NPI assigned
- Jun 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C7-0003834 | DE | Primary |
| Pediatrics Physician | 208000000X | OT011580 | PA |
Addresses
Primary practice location
700 Children's Dr
Nationwide Childrens Hospital
Columbus, OH 43205
Mailing address
700 Children's Drive
Nationwide Children's Hospital
Columbus, OH 43205
Phone (614) 722-2000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010251 | Other | OH | PEDIATRICS |
| C7-0003834 | Other | DE | PEDIATRICS |
| OT011580 | Other | PA | OSTEOPATHIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C7-0003834 | DE | MD | Pediatrics Physician |
| OT011580 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nemours New Jersey Physician Practice, P.C. | Pediatrics | Current | Accepting new patients |
| The Nemours Foundation | Past | Accepting new patients | |
| The Nemours Foundation | Past | Accepting new patients |
Locations
1600 Rockland Rd
Wilmington, DE 19803
325 Route 70 E
Cherry Hill, NJ 08034
Phone (856) 528-5370
1280 Almonesson Rd
Woodbury, NJ 08096
Phone (856) 345-1401
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Deptford, NJ
- NPI 1265874713
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1265585806
-
- Children's Hospital
- Wilmington, DE
- NPI 1467505073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372982400000",
"number": "1316140833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 CHILDREN'S DRIVE",
"address_2": "NATIONWIDE CHILDREN'S HOSPITAL",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43205",
"telephone_number": "614-722-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 CHILDREN'S DR",
"address_2": "NATIONWIDE CHILDRENS HOSPITAL",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43205",
"telephone_number": "614-722-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUSZEWSKI",
"first_name": "PATRICE",
"middle_name": "GENEVIEVE",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-11",
"last_updated": "2013-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "DE",
"license": "C7-0003834",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "OT011580",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEDIATRICS",
"identifier": "010251",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEDIATRICS",
"identifier": "C7-0003834",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OSTEOPATHIC",
"identifier": "OT011580",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2013; 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.