Michael Joseph Krzyzkowski, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME91548 Issued in FL

Practice address

5955 Rand Blvd.
Tidewell Hospice and Palliative Care
Sarasota, FL 34238-5160

Phone

(941) 923-5822

Fax

(941) 925-0969

NPI assigned

Mar 11, 2006

Sex

Male

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 9

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Connexis Medical Services LLC

  • Family Medicine Physician
  • Sarasota, FL
  • NPI 1699002097
  NPD (past)
• MCR Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Parrish, FL
  • NPI 1255376000

  Family Medicine

  NPD (past)
• Tidewell Home Health Services

  • Home Health Agency
  • Bradenton, FL
  • NPI 1578894788
  NPD (past)
• Tidewell Home Health Services

  • Home Health Agency
  • Sarasota, FL
  • NPI 1669794715
  NPD (past)
• Hunterdon Medical Center

  • Family Medicine Physician
  • Clinton, NJ
  • NPI 1942362181
  NPD (past)

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

{
    "created_epoch": "1142035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269820800000",
    "number": "1679541999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 RAND BLVD.",
            "address_2": "TIDEWELL HOSPICE AND PALLIATIVE CARE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342385160",
            "telephone_number": "941-923-5822",
            "fax_number": "941-925-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 RAND BLVD.",
            "address_2": "TIDEWELL HOSPICE AND PALLIATIVE CARE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342385160",
            "telephone_number": "941-923-5822",
            "fax_number": "941-925-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRZYZKOWSKI",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-11",
        "last_updated": "2010-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME91548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEATLHCARE",
            "identifier": "25654",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE URGENT CARE",
            "identifier": "301386",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "214490",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP URGENT CARE",
            "identifier": "229615",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "311532",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL",
            "identifier": "04690",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00183786",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271419100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01019",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin Lenore Kruger, L.M.H.C.
• Bruce A Kruglick, MD
• Karen Krumel
• Ashley Krumreich, CRNA
• Nataliya Kryvokobylska, ARNP
• Stephen Thomas Kucera, M.D.
• Patrycja Kucharska
• Johana Kuemerle-Pinillos, PHD, LCSW
• Austin Reid Kuennen, RDN
• Allison Kukene

• Family Medicine Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.