Individual provider Active NPI

Peter O Kroemer, MD

  • Family Medicine Physician
  • Albion, PA
National Provider Identifier
1407834799
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD027897E Issued in PA
Practice address
155 E State St
Albion, PA 16401-1347
Phone
(814) 756-4917
Fax
(814) 756-5226
NPI assigned
Jan 6, 2006
Last updated
Jun 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD027897E PA Primary

Addresses

Primary practice location

155 E State St
Albion, PA 16401-1347

Mailing address

155 E State St
Albion, PA 16401-1347
Phone (814) 756-4917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040102000459 PA Practitioner - Family Practice 4284533886 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD027897EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Medical Education and Research Institute Inc Family Medicine CurrentSince Dec 13, 1984 Accepting new patients
Saint Vincent Medical Education and Research Institute Family Medicine PastSince Jun 21, 2020 Accepting new patients

Locations

155 E State St
Albion, PA 16401
Phone (814) 756-4917

1910 Sassafras St
Ste 100
Erie, PA 16502
Phone (814) 452-5772

3530 Peach St
Ste LL1
Erie, PA 16508

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1407834799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 E STATE ST",
            "city": "ALBION",
            "state": "PA",
            "postal_code": "164011347",
            "telephone_number": "814-756-4917",
            "fax_number": "814-756-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E STATE ST",
            "city": "ALBION",
            "state": "PA",
            "postal_code": "164011347",
            "telephone_number": "814-756-4917",
            "fax_number": "814-756-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROEMER",
        "first_name": "PETER",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD027897E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albion, PA

Sources for this page

Verify at the official NPI Registry.