Individual provider Active NPI

Thomas A Krupko, MD

  • Orthopaedic Surgery Physician
  • Alliance, OH
National Provider Identifier
1568533214
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
35048994 Issued in OH
Practice address
149 E Simpson St
Alliance, OH 44601-4219
Phone
(330) 823-4424
Fax
(330) 823-1179
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 35048994 OH Primary

Addresses

Primary practice location

149 E Simpson St
Alliance, OH 44601-4219

Mailing address

149 E Simpson St
Alliance, OH 44601-4219
Phone (330) 823-4424

Other practice location 1

2461 West State Street
Suite C
Alliance, OH 44601
Phone (330) 823-4424

Other identifiers 2

IdentifierTypeStateIssuer
0612626MedicaidOH
34149649800OtherOHBWC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20140826000950 OH Practitioner - Orthopedic Surgery 0547269805 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Ohio State University College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Physical Medicine LLCGroup PAC ID 1456597376, 4 clinicians

Practice addresses (Care Compare)

2565 S Union Ave
Alliance, OH 44601-5058
Phone (330) 821-4455

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35048994OHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal Clinic Orthopaedic Center LLC Orthopaedic Surgery CurrentSince Apr 1, 2025 Accepting new patients
Crystal Clinic Orthopaedic Center LLC Orthopaedic Surgery CurrentSince Apr 1, 2025 Accepting new patients
Family Health Physical Medicine LLC CurrentSince Dec 10, 2016 Accepting new patients
Mercy Professional Care, LLC CurrentSince Oct 15, 2019 Accepting new patients
Alliance Surgical Care Inc Past Accepting new patients
Paragon Heart Group, Inc PastSince Dec 26, 2000 Accepting new patients

Locations

3975 Embassy Pkwy
Ste 202
Akron, OH 44333
Phone (330) 668-4085

2565 S Union Ave
Alliance, OH 44601
Phone (330) 821-4455

149 E Simpson St
Alliance, OH 44601
Phone (330) 823-3856

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

1330 Mercy Dr NW
Ste 319
Canton, OH 44708
Phone (330) 580-4706

603 Monroe St
Dover, OH 44622
Phone (330) 364-8889

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1568533214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 E SIMPSON ST",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446014219",
            "telephone_number": "330-823-4424",
            "fax_number": "330-823-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 E SIMPSON ST",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446014219",
            "telephone_number": "330-823-4424",
            "fax_number": "330-823-1179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2461 West State Street",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Alliance",
            "state": "OH",
            "postal_code": "44601",
            "country_code": "US",
            "telephone_number": "330-823-4424",
            "fax_number": "330-823-1179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUPKO",
        "first_name": "THOMAS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35048994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0612626",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "34149649800",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, OH

Sources for this page

Verify at the official NPI Registry.