Individual provider Active NPI

Alexander S. Krupnick, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Baltimore, MD
National Provider Identifier
1437175668
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
D89214 Issued in MD
Practice address
419 W Redwood St Ste 300
Baltimore, MD 21201-7003
Phone
(410) 328-5300
Fax
(410) 328-5147
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 2004009699 MO
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 0101261422 VA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X D89214 MD Primary

Addresses

Primary practice location

419 W Redwood St Ste 300
Baltimore, MD 21201-7003

Mailing address

306 W Redwood St FL 4
Baltimore, MD 21201-1708
Phone (667) 214-1720

Other identifiers 1

IdentifierTypeStateIssuer
821320412MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200811003223 MD Practitioner - Thoracic SurgeryPractitioner - General Surgery 8123094281 Reassigns benefits to 1 organization
I20220310001280 DC Practitioner - Thoracic SurgeryPractitioner - General Surgery 8123094281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: General Surgery
Education
University of Michigan Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-5191

3001 Hospital Dr
Cheverly, MD 20785-1189
Phone (410) 328-5842

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux18
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D89214MDMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Surgical Associates, PA CurrentSince Jul 1, 2020 Accepting new patients
University of Maryland Medical Center, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
University of Maryland Surgcial Assoc PA Past Accepting new patients

Locations

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

419 W Redwood St
Fl 3
Baltimore, MD 21201
Phone (410) 328-5300

419 W Redwood St
Ste 300
Baltimore, MD 21201
Phone (410) 328-5300

419 W Redwood St
Ste 360
Baltimore, MD 21201
Phone (410) 328-5842

3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000

Interoperability endpoints

  • Direct secure messaging: akrupnick683856@direct.umm.edu

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1437175668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W REDWOOD ST FL 4",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011708",
            "telephone_number": "667-214-1720",
            "fax_number": "410-706-6976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W REDWOOD ST STE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212017003",
            "telephone_number": "410-328-5300",
            "fax_number": "410-328-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUPNICK",
        "first_name": "ALEXANDER",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MO",
            "license": "2004009699",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "VA",
            "license": "0101261422",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MD",
            "license": "D89214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "821320412",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.