Individual provider Active NPI

Angela Catherine Krupka

  • Foot & Ankle Surgery Podiatrist
  • Canfield, OH
National Provider Identifier
1497333553
Registry record updated Feb 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36.004182 Issued in OH
Practice address
6715 Tippecanoe Rd Ste D100
Canfield, OH 44406-7123
Phone
(330) 286-0462
NPI assigned
Mar 31, 2021
Last updated
Feb 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Foot & Ankle Surgery Podiatrist 213ES0103X 36.004182 OH Primary

Addresses

Primary practice location

6715 Tippecanoe Rd Ste D100
Canfield, OH 44406-7123

Mailing address

9190 Springfield Rd Apt 16C
Poland, OH 44514-4115
Phone (440) 862-1071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250320001959 OH Practitioner - Podiatry 1153843073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barak Podiatry,LLCGroup PAC ID 7618042532, 3 clinicians

Practice addresses (Care Compare)

6715 Tippecanoe Rd
D100
Canfield, OH 44406-7123
Phone (330) 286-0462

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue47
Removal of skin lesions1-10
Removal of nail tissue100
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36.004182OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Barak Podiatry,LLC Foot & Ankle Surgery CurrentSince Feb 1, 2025 Accepting new patients
Barak Podiatry,LLC Foot & Ankle Surgery CurrentSince Feb 1, 2025 Accepting new patients

Locations

6715 Tippecanoe Rd
Bldg D
Canfield, OH 44406
Phone (330) 286-0462

6715 Tippecanoe Rd
Ste D100
Canfield, OH 44406
Phone (330) 286-0462

Organizations & group practices 2

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 4

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": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739059200000",
    "number": "1497333553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9190 SPRINGFIELD RD APT 16C",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445144115",
            "telephone_number": "440-862-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 TIPPECANOE RD STE D100",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444067123",
            "telephone_number": "330-286-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUPKA",
        "first_name": "ANGELA",
        "middle_name": "CATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2025-02-09",
        "certification_date": "2025-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.004182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canfield, OH

Sources for this page

Verify at the official NPI Registry.