Individual provider Active NPI

June Denise Krivach, M.D.

  • Diagnostic Radiology Physician
  • Minneapolis, MN
National Provider Identifier
1487607313
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
37654 Issued in MN
Practice address
1221 Nicollet Ave
Suite 600
Minneapolis, MN 55403-2420
Phone
(612) 573-2232
Fax
(612) 573-2274
NPI assigned
May 19, 2006
Last updated
Jul 2, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 37654 MN Primary

Addresses

Primary practice location

1221 Nicollet Ave
Suite 600
Minneapolis, MN 55403-2420

Mailing address

1221 Nicollet Ave
Suite 600
Minneapolis, MN 55403-2420
Phone (612) 573-2232

Other identifiers 12

IdentifierTypeStateIssuer
0555680MedicaidIA
34403000MedicaidWI
1017582OtherMNPREFERRED ONE
108193OtherMNUCARE
51G97KROtherMNBLUE CROSS
HP34188OtherMNHEALTHPARTNERS
61G86KROtherMNBLUE CROSS
895555OtherMNAMERICA'S PPO
24853OtherMNMIDLANDS CHOICE INC
188051200MedicaidMN
300125698OtherMNRAILROAD MEDICARE MN
9203335OtherMNDAKOTA CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37654MNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Central Radiological Associates, LTD Diagnostic Radiology Past Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology Past Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1487607313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 NICOLLET AVE",
            "address_2": "SUITE 600",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554032420",
            "telephone_number": "612-573-2232",
            "fax_number": "612-573-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 NICOLLET AVE",
            "address_2": "SUITE 600",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554032420",
            "telephone_number": "612-573-2232",
            "fax_number": "612-573-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIVACH",
        "first_name": "JUNE",
        "middle_name": "DENISE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "37654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0555680",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34403000",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1017582",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "108193",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51G97KR",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP34188",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "61G86KR",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICA'S PPO",
            "identifier": "895555",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE INC",
            "identifier": "24853",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188051200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE MN",
            "identifier": "300125698",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTA CARE",
            "identifier": "9203335",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.