Individual provider Active NPI

Kristin Krupa

  • Surgery Physician
  • Langhorne, PA
National Provider Identifier
1588018485
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
212081 Issued in PA
Practice address
1205 Langhorne Newtown Rd Ste 304
Langhorne, PA 19047-1222
Phone
(215) 710-4130
NPI assigned
Apr 17, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X 212081 PA Primary

Addresses

Primary practice location

1205 Langhorne Newtown Rd Ste 304
Langhorne, PA 19047-1222

Mailing address

1205 Langhorne Newtown Rd Ste 304
Langhorne, PA 19047-1222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20220614000156 PA Practitioner - General Surgery 9133417124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1205 Langhrn Nwtwn Rd
Suite 304
Langhorne, PA 19047-1222
Phone (215) 710-7500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy19
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
212081PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Jul 1, 2022 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Surgery Current Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Jul 1, 2022 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Surgery Past Accepting new patients
Trinity Health Mid-Atlantic Medical Group Surgery PastSince Jul 1, 2022 Accepting new patients

Locations

1205 Langhorne Newtown Rd
Ste 304
Langhorne, PA 19047
Phone (215) 710-4130

41 University Dr
Ste 300
Newtown, PA 18940
Phone (215) 710-7037

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

657 Heacock Rd
Yardley, PA 19067
Phone (215) 321-0105

Interoperability endpoints

  • Direct secure messaging: kkrupa2090424@direct.trinity-health.org
  • Direct secure messaging: kkrupa146212@direct.phhs.org

Organizations & group practices 5

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": "1460851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1588018485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 LANGHORNE NEWTOWN RD STE 304",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 LANGHORNE NEWTOWN RD STE 304",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471222",
            "telephone_number": "215-710-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUPA",
        "first_name": "KRISTIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-17",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "212081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.