Individual provider Active NPI

Aaron Justin Krill, MD

  • Pediatric Urology Physician
  • New Hyde Park, NY
National Provider Identifier
1427294099
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
259568 Issued in NY
Practice address
1999 Marcus Ave Ste M18
Department of Pediatric Urology
New Hyde Park, NY 11042-1023
Phone
(516) 466-6953
Fax
(516) 466-5608
NPI assigned
Jan 1, 2009
Last updated
May 19, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD037609 DC
Pediatric Urology Physician 2088P0231X 259568 NY Primary

Addresses

Primary practice location

1999 Marcus Ave Ste M18
Department of Pediatric Urology
New Hyde Park, NY 11042-1023

Mailing address

1999 Marcus Ave Ste M18
Department of Pediatric Urology
New Hyde Park, NY 11042-1023
Phone (516) 466-6953

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20160513001450 DC Practitioner - Pediatric MedicinePractitioner - Urology 4183892839 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Urology
Education
Rush Medical College of Rush University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Children's HospitalGroup PAC ID 0244143170, 212 clinicians

Practice addresses (Care Compare)

111 Michigan Ave NW
Washington, DC 20010-2916
Phone (301) 572-3514

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
259568NYMDPediatric Urology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital CurrentSince Apr 5, 2016 Accepting new patients
Children's Hospital CurrentSince Apr 5, 2016 Accepting new patients
Children's Hospital Current Accepting new patients
Inova Health Care Services CurrentSince Mar 1, 2020 Accepting new patients
Bimc Faculty Practice Past Accepting new patients
Bimc Faculty Practice Urology Past Accepting new patients
Pediatric Urology Associates, PC Pediatric Urology PastSince Jan 1, 2001 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

Organizations & group practices 8

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": "1230768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305763200000",
    "number": "1427294099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 MARCUS AVE STE M18",
            "address_2": "DEPARTMENT OF PEDIATRIC UROLOGY",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421023",
            "telephone_number": "516-466-6953",
            "fax_number": "516-466-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 MARCUS AVE STE M18",
            "address_2": "DEPARTMENT OF PEDIATRIC UROLOGY",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421023",
            "telephone_number": "516-466-6953",
            "fax_number": "516-466-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRILL",
        "first_name": "AARON",
        "middle_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-01",
        "last_updated": "2011-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "DC",
            "license": "MD037609",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "NY",
            "license": "259568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.