Adam M. Kruczay, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0676 Issued in AZ

Practice address

2815 S Alma School Rd
#119B
Mesa, AZ 85210-4031

Phone

(480) 664-7490

Fax

(480) 664-7512

NPI assigned

Jun 23, 2006

Last updated

Oct 4, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lewis H. Freed DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Mesa, AZ
  • NPI 1003987033
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1437185600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2487 S GILBERT RD #106-606",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852958899",
            "telephone_number": "480-664-7490",
            "fax_number": "480-664-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 S ALMA SCHOOL RD",
            "address_2": "#119B",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852104031",
            "telephone_number": "480-664-7490",
            "fax_number": "480-664-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUCZAY",
        "first_name": "ADAM",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC003387L",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "394459",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "DP9577",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brook A Kritzstein, LCSW
• Kelly Michele Krivulka, ATC
• Christina Isabele Krize, CPM, LM
• Brenda Kronborg, D.O.
• Daniel Jayson Kronemeyer
• Teri Virginia Krull, LCSW
• Rachel Kruppa, AU.D.
• Shuang Krus
• Taylor Lyn Kruse
• Joseph J Kryc, MD

• Foot & Ankle Surgery Podiatrist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Foot & Ankle Surgery Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.