David Abba Krendel, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

023075 Issued in GA

Practice address

600 Professional Drive
Suite 110
Lawrenceville, GA 30046-7638

Phone

(770) 995-0555

Fax

(770) 995-0682

NPI assigned

Aug 2, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2022 through Oct 1, 2026

Specialty

Neurology

Education

Hahnemann University College of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northside Hospital, Inc.

  • General Acute Care Hospital
  • Lawrenceville, GA
  • NPI 1952340994
  Care Compare affiliation

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1568463370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PROFESSIONAL DRIVE",
            "address_2": "SUITE 110",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467638",
            "telephone_number": "770-995-0555",
            "fax_number": "770-995-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PROFESSIONAL DRIVE",
            "address_2": "SUITE 110",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467638",
            "telephone_number": "770-995-0555",
            "fax_number": "770-995-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRENDEL",
        "first_name": "DAVID",
        "middle_name": "ABBA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "023075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000276119D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00276119E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Bardina Korzeniewski
• Morgan Kosmala, DPT
• Juilett Kostanjevec, DO
• Heather Gail Kotula, PAAA
• Adoun Koudadje
• Kelsey Kreyche, DO
• Karen Sue Krider
• Krisnir Corporation
• Homare Max Kubagawa, M.D.
• David William Kuglin, L.P.C.

• Neurology Physician in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Neurology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.