Individual provider Active NPI

Jon A Krumerman, M.D.

  • Neurological Surgery Physician
  • Plano, TX
National Provider Identifier
1447246376
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
K0330 Issued in TX
Practice address
6101 W Plano Pkwy Ste 100
Plano, TX 75093-8201
Phone
(214) 750-3646
NPI assigned
Sep 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X K0330 TX Primary

Addresses

Primary practice location

6101 W Plano Pkwy Ste 100
Plano, TX 75093-8201

Mailing address

6101 W Plano Pkwy Ste 100
Plano, TX 75093-8201
Phone (214) 445-6925

Other identifiers 1

IdentifierTypeStateIssuer
151022401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110301000783 TX Practitioner - Neurosurgery 5698858736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Florida College of Medicine, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Dallas Neurosurgical Associates PAGroup PAC ID 1254386907, 15 clinicians

Practice addresses (Care Compare)

6101 W Plano Pkwy
Suite 100
Plano, TX 75093-8201
Phone (214) 750-3646

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Neurosurgical Associates, P.a. CurrentSince Oct 1, 2001 Accepting new patients

Locations

7515 Greenville Ave
Ste 200
Dallas, TX 75231
Phone (214) 445-6970

8230 Walnut Hill Ln
Ste 220
Dallas, TX 75231
Phone (214) 345-8692

6101 W Plano Pkwy
Ste 100
Plano, TX 75093
Phone (214) 750-3646

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1447246376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 W PLANO PKWY STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938201",
            "telephone_number": "214-445-6925",
            "fax_number": "214-692-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 W PLANO PKWY STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938201",
            "telephone_number": "214-750-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUMERMAN",
        "first_name": "JON",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "K0330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151022401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.