Individual provider Active NPI

Timothy J Kross, MD

  • Internal Medicine Physician
  • Sewickley, PA
National Provider Identifier
1528039476
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD030698E Issued in PA
Practice address
2593 Wexford Bayne Rd
Suite 208
Sewickley, PA 15143-8608
Phone
(724) 759-7273
Fax
(724) 759-7315
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD030698E PA Primary

Addresses

Primary practice location

2593 Wexford Bayne Rd
Suite 208
Sewickley, PA 15143-8608

Mailing address

2593 Wexford Bayne Rd
Suite 208
Sewickley, PA 15143-8608
Phone (724) 759-7273

Other identifiers 1

IdentifierTypeStateIssuer
1041993MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20070411000417 PA Practitioner - Internal MedicinePractitioner - Addiction Medicine 9537264049 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Addiction Medicine
Education
Hahnemann University College of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cranberry Psychological Center, Inc.Group PAC ID 3072501626, 45 clinicians

Practice addresses (Care Compare)

100 Northpointe Cir
Suite 306
Seven Fields, PA 16046-7851
Phone (724) 772-4848

Hospital & facility affiliations

  • Ahn Wexford Hospital Hospital, Wexford, PA, CCN 390334

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Physician Services Internal Medicine CurrentSince Jan 2, 2018 Accepting new patients
Cranberry Psychological Center, Inc. CurrentSince May 29, 2024 Accepting new patients

Locations

100 Northpointe Cir
Ste 306
Seven Fields, PA 16046
Phone (724) 772-4848

190 N Main St
Ste 204
Washington, PA 15301
Phone (724) 223-9335

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 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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331856000000",
    "number": "1528039476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2593 WEXFORD BAYNE RD",
            "address_2": "SUITE 208",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151438608",
            "telephone_number": "724-759-7273",
            "fax_number": "724-759-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2593 WEXFORD BAYNE RD",
            "address_2": "SUITE 208",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151438608",
            "telephone_number": "724-759-7273",
            "fax_number": "724-759-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROSS",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2012-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD030698E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1041993",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewickley, PA

Sources for this page

Verify at the official NPI Registry.