NPIMap

Individual provider Active NPI

Alex Tanner Krahulik, PA-C

  • Physician Assistant
  • Lancaster, PA
National Provider Identifier
1497475479
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
231 Granite Run Dr Ste 100
Lancaster, PA 17601-6816
Phone
(717) 560-4200
Fax
(717) 560-4159
NPI assigned
Aug 31, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

231 Granite Run Dr Ste 100
Lancaster, PA 17601-6816

Mailing address

2815 Willow Street Pike N Apt 2
Willow Street, PA 17584-9224
Phone (717) 368-8661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20221013003163 PA Practitioner - Physician Assistant 6608242789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster Orthopedic Group, Inc.Group PAC ID 1557264678, 76 clinicians

Practice addresses (Care Compare)

175 Martin Ave
Suite 315
Ephrata, PA 17522-1761
Phone (717) 733-9200

231 Granite Run Dr
Lancaster, PA 17601-6823
Phone (717) 560-4200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster Orthopedic Group, Inc. CurrentSince Dec 1, 2022 Accepting new patients

Locations

175 Martin Ave
Ste 315
Ephrata, PA 17522
Phone (717) 733-9200

231 Granite Run Dr
Lancaster, PA 17601
Phone (717) 560-4200

231 Granite Run Dr
Ste 100
Lancaster, PA 17601
Phone (717) 560-4200

1009 E Main St
Mount Joy, PA 17552
Phone (717) 544-3537

Organizations & group practices 1

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 9

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": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1497475479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 WILLOW STREET PIKE N APT 2",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "175849224",
            "telephone_number": "717-368-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 GRANITE RUN DR STE 100",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016816",
            "telephone_number": "717-560-4200",
            "fax_number": "717-560-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAHULIK",
        "first_name": "ALEX",
        "middle_name": "TANNER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.