NPIMap

Individual provider Active NPI

Karen Krutchick, M.D.

  • Family Medicine Physician
  • Canajoharie, NY
National Provider Identifier
1457795452
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
276399 Issued in NY
Practice address
48 Erie Blvd
Canajoharie, NY 13317-1133
Phone
(518) 673-2573
Fax
(518) 673-2781
NPI assigned
Apr 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 276399 NY Primary

Addresses

Primary practice location

48 Erie Blvd
Canajoharie, NY 13317-1133

Mailing address

5344 Sacandaga Rd
Galway, NY 12074-2422
Phone (518) 882-6955

Other names 1

  • Karen Regulinski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190108003342 NY Practitioner - Family Practice 0143529420 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Mary'S HealthcareGroup PAC ID 7618960709, 114 clinicians

Practice addresses (Care Compare)

4950 State Hwy 30
Amsterdam, NY 12010-7520
Phone (518) 541-3600

Hospital & facility affiliations

  • St Marys Healthcare Hospital, Amsterdam, NY, CCN 330047
  • Saratoga Hospital Hospital, Saratoga Springs, NY, CCN 330222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
276399NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Hospital Family Medicine Current Accepting new patients
Saratoga Hospital Family Medicine CurrentSince Jan 2, 2019 Accepting new patients
St. Mary'S Healthcare CurrentSince Dec 1, 2024 Accepting new patients
Saratoga Hospital CurrentSince Jan 2, 2019 Accepting new patients
Saratoga Hospital Current Accepting new patients
Saratoga Hospital Current Accepting new patients
Saratoga Hospital Family Medicine Current Accepting new patients
St Marys Healthcare CurrentSince Dec 1, 2024 Accepting new patients
St. Mary'S Healthcare Past Accepting new patients

Locations

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

4950 State Highway 30
Amsterdam, NY 12010
Phone (518) 770-7557

380 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 841-7415

48 Erie Blvd
Canajoharie, NY 13317
Phone (518) 673-2573

112 Charlton Rd
Charlton, NY 12019
Phone (518) 399-7723

211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461

1 West Ave
Ste 300
Saratoga Springs, NY 12866
Phone (518) 693-4699

3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800

665 Saratoga Rd
Ste 100
Wilton, NY 12831
Phone (518) 363-8815

Organizations & group practices 9

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1366416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1457795452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5344 SACANDAGA RD",
            "city": "GALWAY",
            "state": "NY",
            "postal_code": "120742422",
            "telephone_number": "518-882-6955",
            "fax_number": "518-882-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 ERIE BLVD",
            "city": "CANAJOHARIE",
            "state": "NY",
            "postal_code": "133171133",
            "telephone_number": "518-673-2573",
            "fax_number": "518-673-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUTCHICK",
        "first_name": "KAREN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-20",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "276399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "REGULINSKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canajoharie, NY

Sources for this page

Verify at the official NPI Registry.