Active NPI
Ronald Kretkowski, MD
- Urology Physician
- Annapolis, MD
National Provider Identifier
1336355668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- D0015273
- Practice address
- 2973 Southaven Dr
Annapolis, MD 21401-7104 - Phone
- (410) 266-8893
- NPI assigned
- May 15, 2007
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | D0015273 | MD | Primary |
Addresses
Primary practice location
2973 Southaven Dr
Annapolis, MD 21401-7104
Mailing address
2973 Southaven Dr
Annapolis, MD 21401-7104
Phone (410) 266-8893
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0015273 | MD | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336355668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2973 SOUTHAVEN DR",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017104",
"telephone_number": "410-266-8893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2973 SOUTHAVEN DR",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017104",
"telephone_number": "410-266-8893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRETKOWSKI",
"first_name": "RONALD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MD",
"license": "D0015273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.