Michael N Krutzik MD a Medical Corporation

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

A66632 Issued in CA

Legal business name

MICHAEL N KRUTZIK MD A MEDICAL CORPORATION

Practice address

790 W Orange Ave Ste C
El Centro, CA 92243-3274

Phone

(760) 352-6766

NPI assigned

Sep 12, 2007

Last updated

Feb 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael N Krutzik, MDNPI 1447290168

Title

President

Phone

(760) 352-6766

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GHFDDD

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Krutzik, MD

  • Internal Medicine Physician
  • Brawley, CA
  • NPI 1447290168
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1528253572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 G ST",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922272411",
            "telephone_number": "760-344-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 W ORANGE AVE STE C",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922433274",
            "telephone_number": "760-352-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL N KRUTZIK MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "KRUTZIK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-352-6766",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A66632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A666320",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1447290168",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Ashley Merlin
• Bryan David Merte
• Estela Meza
• Luis Francisco Meza, MD
• Miguel Angel Meza
• Ryan David Middleton
• William Frederick Middleton Jr., OD
• Randal W. Miles, D.D.S.
• Milestones Behavioral Consulting LLC
• Deona Miller

• Pulmonary Disease Physician in El Centro, CA
• Providers in El Centro, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.