Debra Michelle Kroll, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

237914 Issued in NY

Practice address

218 2ND Ave
New York, NY 10003-2719

Phone

(212) 979-4253

Fax

(212) 979-4051

NPI assigned

Jun 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Ophthalmology

Education

Tufts University School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Debra M Kroll MD LLC

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • New York, NY
  • NPI 1528759404
  Medicare reassignment NPD Authorized official
• Keamy Eye & Laser Centre LLC

  • Ophthalmology Physician
  • Westborough, MA
  • NPI 1255431474
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669408498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2373 BROADWAY",
            "address_2": "#1003",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100242800",
            "telephone_number": "212-979-4253",
            "fax_number": "212-979-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032719",
            "telephone_number": "212-979-4253",
            "fax_number": "212-979-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROLL",
        "first_name": "DEBRA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "237914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "216810",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Ann Kroker, LCSW
• Ashley Danielle Krokowski, MA, BCBA, LBA
• George S Krol, MD
• Mindy Ellen Kroll Sutton, LMSW
• Alan Kroll, ATC
• Elizabeth Aidan Kroll
• Gabriel Max Kroll
• Peter Kroll, LCSW
• Sara Kroll, AGACNP, RN
• Karina Krom, DDS

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.