Individual provider Active NPI

Krysia Lynne Zancosky, D.O.

  • Gastroenterology Physician
  • Butler, PA
National Provider Identifier
1457316606
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
OS012701 Issued in PA
Practice address
104 Technology Dr
Suite 202
Butler, PA 16001-1801
Phone
(724) 482-6062
Fax
(724) 482-6117
NPI assigned
Apr 19, 2006
Last updated
Jun 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X OS012701 PA Primary

Addresses

Primary practice location

104 Technology Dr
Suite 202
Butler, PA 16001-1801

Mailing address

104 Technology Dr
Suite 202
Butler, PA 16001-1801
Phone (724) 482-6062

Other identifiers 3

IdentifierTypeStateIssuer
0015853400003MedicaidPA
ZA1774712OtherPAPA BLUE CROSS/BLUE SHIELD
ZA1774712OtherPAHIGHMARK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20051205000015 PA Practitioner - GastroenterologyPractitioner - Internal Medicine 8224058375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Butler Medical ProvidersGroup PAC ID 7416840160, 355 clinicians

Practice addresses (Care Compare)

104 Technology Dr
Suite 202
Butler, PA 16001-1801
Phone (833) 391-0654

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy131
Upper gastrointestinal (GI) endoscopy for acid reflux109

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS012701PAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers CurrentSince Oct 1, 2017 Accepting new patients
Butler Medical Providers CurrentSince Oct 1, 2017 Accepting new patients
Butler Medical Providers Gastroenterology Current Accepting new patients

Locations

104 Technology Dr
Ste 202
Butler, PA 16001
Phone (724) 482-6062

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

Interoperability endpoints

  • Direct secure messaging: krysia.zancosky@direct-address.net
  • Direct secure messaging: krysiazancosky@bg.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1457316606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 TECHNOLOGY DR",
            "address_2": "SUITE 202",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160011801",
            "telephone_number": "724-482-6062",
            "fax_number": "724-482-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 TECHNOLOGY DR",
            "address_2": "SUITE 202",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160011801",
            "telephone_number": "724-482-6062",
            "fax_number": "724-482-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANCOSKY",
        "first_name": "KRYSIA",
        "middle_name": "LYNNE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "OS012701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015853400003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE CROSS/BLUE SHIELD",
            "identifier": "ZA1774712",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "ZA1774712",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.