Individual provider Active NPI

Charles L Krone, M.D.

  • Gastroenterology Physician
  • Tucson, AZ
National Provider Identifier
1497899173
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
5671 Issued in AZ
Practice address
2380 N Ferguson Ave
Suite 102
Tucson, AZ 85712-2837
Phone
(520) 795-7260
Fax
(520) 795-3024
NPI assigned
Feb 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 5671 AZ Primary

Addresses

Primary practice location

2380 N Ferguson Ave
Suite 102
Tucson, AZ 85712-2837

Mailing address

2380 N. Ferguson Avenue
Suite 102
Tucson, AZ 85712-2837
Phone (520) 795-7260

Other practice location 1

1505 N Swan Rd Ste 121
Tucson, AZ 85712-4044
Phone (520) 795-3090

Other identifiers 1

IdentifierTypeStateIssuer
201715MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20040706001332 AZ Practitioner - Internal MedicinePractitioner - Gastroenterology 4284611328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Albert Einstein College of Medicine of Yeshiva University, 1962
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swan Gastroenterology PCGroup PAC ID 9133425903, 8 clinicians

Practice addresses (Care Compare)

1505 N Swan Rd
Suite 121
Tucson, AZ 85712-4044
Phone (520) 795-3090

Hospital & facility affiliations

  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy17
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5671AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Swan Gastroenterology, P.C. Gastroenterology CurrentSince Nov 1, 2021 Accepting new patients

Locations

111 El Camino Real
Sierra Vista, AZ 85635
Phone (520) 459-3850

1505 N Swan Rd
Ste 121
Tucson, AZ 85712
Phone (520) 795-3090

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 1

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": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1497899173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 N. FERGUSON AVENUE",
            "address_2": "SUITE 102",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122837",
            "telephone_number": "520-795-7260",
            "fax_number": "520-795-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 N FERGUSON AVE",
            "address_2": "SUITE 102",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122837",
            "telephone_number": "520-795-7260",
            "fax_number": "520-795-3024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 N Swan Rd Ste 121",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857124044",
            "country_code": "US",
            "telephone_number": "520-795-3090",
            "fax_number": "520-795-3537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRONE",
        "first_name": "CHARLES",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "5671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201715",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.