Susan Marie Krolewski, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

10090 Issued in NH

Practice address

264 Lafayette Rd
Unit 2B
Portsmouth, NH 03801-5430

Phone

(603) 433-4774

Fax

(603) 433-8433

NPI assigned

May 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NH

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

Specialty

Family Practice

Education

University of Massachusetts Medical School, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Convenientmd - FFS UC LLCGroup PAC ID 5193186492, 397 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Convenientmd - FFS UC LLC

  • Urgent Care Clinic/Center
  • Nashua, NH
  • NPI 1851082291
  Medicare reassignment Care Compare group NPD
• Convenientmd - FFS UC LLC

  • Urgent Care Clinic/Center
  • Bedford, NH
  • NPI 1154012573
  NPD
• Convenientmd - FFS UC LLC

  • Urgent Care Clinic/Center
  • Sturbridge, MA
  • NPI 1386526192
  NPD
• Convenientmd - FFS UC LLC

  • Urgent Care Clinic/Center
  • Manchester, NH
  • NPI 1952092397
  NPD (past)
• Convenientmd LLC

  • Urgent Care Clinic/Center
  • Manchester, NH
  • NPI 1427729516
  NPD (past)
• Derry Medical Center, PA

  • Family Medicine Physician
  • Derry, NH
  • NPI 1922030493
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1467406710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 LAFAYETTE RD",
            "address_2": "UNIT 2B",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015430",
            "telephone_number": "603-433-4774",
            "fax_number": "603-433-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 LAFAYETTE RD",
            "address_2": "UNIT 2B",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015430",
            "telephone_number": "603-433-4774",
            "fax_number": "603-433-8433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "738 Hooksett Rd",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031042617",
            "country_code": "US",
            "telephone_number": "603-384-3900",
            "fax_number": "603-384-3912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KROLEWSKI",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "10090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30010690",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7904880",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "089018",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Richard Krebs, PHARMD
• Sarah C Kremer, DPT
• Krempels Brain Injury Center
• Emily Krieger, OD
• Morgan Kroitzsh
• Eleni-Lemonia Krommidas, ND
• Ruth E. Kulback, LCMHC, LADC
• Andrew Joseph Kulesza, MD
• Janice T Kulikowski, RD
• Swathi Deepak Kulkarni, M.D.

• Family Medicine Physician in Portsmouth, NH
• Providers in Portsmouth, NH by specialty
• Family Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.

Verify at the official NPI Registry.