Mark A Kroll, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

41304 Issued in TN

Practice address

1403 Andrea St
Bowling Green, KY 42104-3335

Phone

(270) 781-4909

Fax

(270) 843-9678

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Ophthalmology

Education

Loma Linda University School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clarksville Ophthalmology P.C.Group PAC ID 6103867965, 4 clinicians

Donelson Eyecare, PLLCGroup PAC ID 0446299051, 4 clinicians

Cool Springs Eyecare PLLCGroup PAC ID 8921193285, 7 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: mark.kroll.p2@direct.cvilleophthalmology.nextgenshare.com
• Direct secure messaging: markkroll@mcpeakvision.direct.eyemdemr.com

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.

• Clarksville Ophthalmology P.C.

  • Ophthalmology Physician
  • Clarksville, TN
  • NPI 1598746794
  Medicare reassignment Care Compare group NPD
• Cool Springs Eyecare, PLLC

  • Optometrist
  • Franklin, TN
  • NPI 1104968817
  Medicare reassignment Care Compare group NPD
• Donelson Eyecare, PLLC

  • Optometrist
  • Nashville, TN
  • NPI 1548302854
  Medicare reassignment Care Compare group NPD
• Vanderbilt University Medical Center

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1104202761

  Ophthalmology

  Medicare reassignment NPD
• McPeak Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Glasgow, KY
  • NPI 1881684538
  NPD
• Clarksville Eye Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Clarksville, TN
  • NPI 1144482753
  NPD
• Eye Surgery Center of Middle Tennessee, LLC

  • Ambulatory Surgical Clinic/Center
  • Nashville, TN
  • NPI 1659679074
  NPD (past)
• Sweet Dreams Anesthesia Inc

  • Certified Registered Nurse Anesthetist
  • Chattanooga, TN
  • NPI 1508133497
  NPD (past)
• Wesley & Klippenstein, PC

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Nashville, TN
  • NPI 1023025475
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1568494136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3252 ASPEN GROVE DR STE 1",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370674894",
            "telephone_number": "615-786-9044",
            "fax_number": "615-771-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 ANDREA ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043335",
            "telephone_number": "270-781-4909",
            "fax_number": "270-843-9678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Bravo Blvd",
            "address_purpose": "LOCATION",
            "city": "Glasgow",
            "state": "KY",
            "postal_code": "421413412",
            "country_code": "US",
            "telephone_number": "270-651-2181",
            "fax_number": "270-651-2183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KROLL",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "48769",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "41304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis M Kriete, BS, RBT
• Hannah Beth Krisher, MA, LPA
• Kroger Limited Partnership I
• Kroger Limited Partnership I
• Kroger Limited Partnership I
• Sally Kuhlenschmidt, PH.D.
• Anvar Islom Ugli Kuvatov, MD RESIDENT
• Adam Kuzma, CRNA
• Katie Hare Kuzma, DNP, FNP
• Kayla Johnson Kuzma, APRN

• Ophthalmology Physician in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Ophthalmology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.
• 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.