Active NPI
Thomas A Krupko, MD
- Orthopaedic Surgery Physician
- Alliance, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 35048994
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0612626 | Medicaid | OH | |
| 34149649800 | Other | OH | BWC |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35048994 | OH | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crystal Clinic Orthopaedic Center LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Crystal Clinic Orthopaedic Center LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Family Health Physical Medicine LLC | Current | Accepting new patients | |
| Mercy Professional Care, LLC | Current | Accepting new patients | |
| Alliance Surgical Care Inc | Past | Accepting new patients | |
| Paragon Heart Group, Inc | Past | 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.
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- Internal Medicine Physician
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- NPI 1902827876
-
- Physical Medicine & Rehabilitation Physician
- Newark, OH
- NPI 1912745613
-
- Specialist
- Alliance, OH
- NPI 1184785230
-
- Cardiovascular Disease Physician
- Alliance, OH
- NPI 1932372398
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.