Individual provider Active NPI

Brian Krusemark, MD

  • Family Medicine Physician
  • North Canton, OH
National Provider Identifier
1659830693
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.141057 Issued in OH
Practice address
6512 Whipple Ave NW
North Canton, OH 44720-7340
Phone
(330) 499-5600
NPI assigned
Mar 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.141057 OH Primary

Addresses

Primary practice location

6512 Whipple Ave NW
North Canton, OH 44720-7340

Mailing address

PO Box 80690
Canton, OH 44708-0690
Phone (330) 363-7444

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
I20220502000686 OH Practitioner - Family PracticePractitioner - Internal Medicine 6709117542 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland Clinic Mercy HospitalGroup PAC ID 0547156796, 92 clinicians
Aultman Now Urgent Care, LLCGroup PAC ID 7719318633, 43 clinicians
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

1320 Mercy Dr NW
Mercy Medical Ctr PR
Canton, OH 44708-2641
Phone (330) 489-1400

6100 Whipple Ave NW
North Canton, OH 44720-7618
Phone (330) 305-6999

6512 Whipple Ave NW
North Canton, OH 44720-7340
Phone (330) 449-5600

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-5433

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Cleveland Clinic Mercy Hospital CurrentSince Mar 22, 2023 Accepting new patients
Aultman Now Urgent Care, LLC CurrentSince Apr 1, 2022 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Oct 15, 2025 Accepting new patients
Cleveland Clinic Mercy Hospital CurrentSince Mar 22, 2023 Accepting new patients
Aultman North Canton Medical Group CurrentSince Jul 18, 2022 Accepting new patients
North Canton Medical Foundation Past Accepting new patients
Columbus Radiology Corp Past Accepting new patients

Locations

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

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

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

7066 Fulton Dr NW
Canton, OH 44718
Phone (330) 363-8567

1330 Mercy Dr NW
Ste 200
Canton, OH 44708
Phone (330) 489-1000

125 Canton Rd NW
Carrollton, OH 44615
Phone (330) 627-7300

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

1909 Williamsburg Way NE
Louisville, OH 44641
Phone (234) 252-9181

6100 Whipple Ave NW
North Canton, OH 44720
Phone (330) 244-8778

6512 Whipple Ave NW
North Canton, OH 44720
Phone (330) 449-5600

2203 E Maple St
North Canton, OH 44720
Phone (330) 363-8580

Interoperability endpoints

  • Direct secure messaging: bkrusemark1340804@direct.ccf.org
  • Direct secure messaging: brian.krusemark@direct.aultman.org

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1659830693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80690",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447080690",
            "telephone_number": "330-363-7444",
            "fax_number": "330-363-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6512 WHIPPLE AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207340",
            "telephone_number": "330-499-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSEMARK",
        "first_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2023-01-09",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.141057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

Verify at the official NPI Registry.