Active NPI
Alexander S. Krupnick, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- D89214
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 821320412 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic 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
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 18 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D89214 | MD | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Surgical Associates, PA | Current | 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
- 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.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
dba University of Maryland Medical Center
- General Acute Care Hospital
- Baltimore, MD
- NPI 1174660120
-
dba University of Maryland Urological Surgery Center
- Ambulatory Surgical Clinic/Center
- Baltimore, MD
- NPI 1083624225
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Maryland Medical Center
- General Acute Care Hospital
- Baltimore, MD
- NPI 1174660120
-
dba University of Maryland St. Joseph Medical Center
- General Acute Care Hospital
- Towson, MD
- NPI 1124374079
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.