Individual provider Active NPI

Steven Krasnica, M.D.

  • Internal Medicine Physician
  • Bridgeport, CT
National Provider Identifier
1578792602
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
053188 Issued in CT
Practice address
2800 Main St
St.Vincent Medical Center
Bridgeport, CT 06606-4201
Phone
(203) 576-5436
Fax
(203) 581-6512
NPI assigned
Jul 10, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 053188 CT Primary

Addresses

Primary practice location

2800 Main St
St.Vincent Medical Center
Bridgeport, CT 06606-4201

Mailing address

2800 Main St
St.Vincent's Multispecialty Group
Bridgeport, CT 06606-4201
Phone (203) 576-6133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NH, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20141015000977 CT Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 6406077569 Reassigns benefits to 1 organization
I20161209001777 NH Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 6406077569 Reassigns benefits to 1 organization
I20200701000444 VA Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 6406077569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intensive Care Consortium IncGroup PAC ID 0244269413, 485 clinicians

Practice addresses (Care Compare)

1900 Electric Rd
Salem, VA 24153-7474
Phone (561) 997-0821

333 Borthwick Ave
Portsmouth, NH 03801-4198
Phone (603) 436-5110

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
053188CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health, Inc. Internal Medicine CurrentSince Jul 24, 2014 Accepting new patients
HCA Health Services of New Hampshire Inc Past Accepting new patients

Locations

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

2720 Main St
Ste 1
Bridgeport, CT 06606

Interoperability endpoints

  • Direct secure messaging: steven.krasnica@hca6.eclinicaldirectplus.com
  • Direct secure messaging: steven.krasnica.1@25360.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1578792602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 MAIN ST",
            "address_2": "ST.VINCENT'S MULTISPECIALTY GROUP",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064201",
            "telephone_number": "203-576-6133",
            "fax_number": "203-581-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 MAIN ST",
            "address_2": "ST.VINCENT MEDICAL CENTER",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064201",
            "telephone_number": "203-576-5436",
            "fax_number": "203-581-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRASNICA",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-10",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "053188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.