Active NPI
Mark Krivopal, M.D.
- Internal Medicine Physician
- Needham, MA
National Provider Identifier
1356323604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 204774
- Practice address
- 400 Hunnewell St Ste 5
Bid Healthcare Hospitalist Services
Needham, MA 02494-1300 - Phone
- (617) 754-0744
- Fax
- (617) 754-0739
- NPI assigned
- Nov 14, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 204774 | MA | Primary |
Addresses
Primary practice location
400 Hunnewell St Ste 5
Bid Healthcare Hospitalist Services
Needham, MA 02494-1300
Mailing address
400 Hunnewell St Ste 5
Bid Healthcare Hospitalist Services
Needham, MA 02494-1300
Phone (617) 754-0744
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117650 | Other | MA | MASSHEALTH |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quantum Healthcare Medical Associates Inc. | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Hospitalist Physician
- Colton, CA
- NPI 1568490597
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222992000000",
"number": "1356323604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 HUNNEWELL ST STE 5",
"address_2": "BID HEALTHCARE HOSPITALIST SERVICES",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024941300",
"telephone_number": "617-754-0744",
"fax_number": "617-754-0739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 HUNNEWELL ST STE 5",
"address_2": "BID HEALTHCARE HOSPITALIST SERVICES",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024941300",
"telephone_number": "617-754-0744",
"fax_number": "617-754-0739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRIVOPAL",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-14",
"last_updated": "2008-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "204774",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSHEALTH",
"identifier": "117650",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Needham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.