Robert J Kruklitis, MD
Individual provider Active NPI Critical Care Medicine (Internal Medicine) Physician · Allentown, PA
NPI 1366414252 · NPPES record last updated Jan 7, 2019
Key facts
- NPI
- 1366414252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician 207RC0200X
- License
- MD073492L (PA)
- Practice address
- 1250 S Cedar Crest Blvd
Suite 205
Allentown, PA 18103-6224 - Phone
- (610) 402-9116
- Fax
- (610) 402-9610
- NPI assigned
- Feb 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Guthrie Medical Group PC
Practice addresses (Care Compare)
1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858
One Guthrie SQ
Sayre, PA 18840-1625
One Guthrie Square
Sayre, PA 18840-1625
Hospital & facility affiliations
- Robert Packer Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040219000082 | PA | Practitioner - Pulmonary Disease |
1951296821 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD073492L | PA | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schuylkill Health System Medical Group, Inc. | Current |
Accepting new patients | |
| Hazleton Professional Services | Current |
Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current |
Accepting new patients | |
| Lehigh Valley Physician Group | Current |
Accepting new patients | |
| Guthrie Medical Group, P.C. | Current |
Accepting new patients | |
| Guthrie Medical Group, P.C. | Pulmonary Disease | Current |
Accepting new patients |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Pulmonary Disease | Current |
Accepting new patients |
| Schuylkill Health System Medical Group, Inc. | Pulmonary Disease | Current |
Accepting new patients |
Locations
1210 S Cedar Crest Blvd
Ste 2300
Allentown, PA 18103
Phone (610) 437-5505
1250 S Cedar Crest Blvd
Ste 205
Allentown, PA 18103
Phone (610) 402-9116
1770 Bathgate Rd
Ste 401
Bethlehem, PA 18017
Phone (484) 884-8840
50 Moisey Dr
Ste 101
Hazle Township, PA 18202
Phone (570) 459-2226
1000 Alliance Dr
#10
Hazleton, PA 18202
Phone (570) 501-6450
5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641
700 E Norwegian St
Pottsville, PA 17901
Phone (570) 621-4000
700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440
420 S Jackson St
Pottsville, PA 17901
Phone (570) 621-5000
1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106
Interoperability endpoints
- rkruklitis182362@direct-guthrie.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | MD073492L | PA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MD073492L | PA | Yes |
Addresses
Primary practice location
1250 S Cedar Crest Blvd
Suite 205
Allentown, PA 18103-6224
Mailing address
PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1009065800001 | Medicaid | PA |
Other providers in Allentown, PA
- Kaylee Kromer
- Leigh Krompasky
- Dahlia Kronfli
- Nikole Marie Krosecz
- Kiersten Marie Krouse
- John William Krupa
- Philip Krupka
- Abigail Marie Krutsick
- Jill M. Krystofinski
- Meghan M Kubala
All providers in Allentown, PA · Critical Care Medicine (Internal Medicine) Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.