NPIMap

Individual provider Active NPI

James M Krick, D.O.

  • Urology Physician
  • Summerfield, FL
National Provider Identifier
1679542195
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
OS15922 Issued in FL
Practice address
10435 SE 170TH PL
Summerfield, FL 34491-8998
Phone
(352) 630-6250
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 02564 KY
Urology Physician 208800000X OS15922 FL Primary

Addresses

Primary practice location

10435 SE 170TH PL
Summerfield, FL 34491-8998

Mailing address

PO Box 100247
Gainesville, FL 32610-0247

Other identifiers 1

IdentifierTypeStateIssuer
64939267MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190321001125 FL Practitioner - Urology 0244264638 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indian River Health Services IncGroup PAC ID 9234130329, 335 clinicians

Practice addresses (Care Compare)

3450 11TH CT
Vero Beach, FL 32960-5012
Phone (772) 794-9771

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.26 of 100Reported as apm
Quality
80.2
Promoting interoperability
99.24
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3236WVMDDental Hygienist
OS15922FLMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indian River Health Services Inc CurrentSince Jan 31, 2022 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Oct 12, 2021 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Oct 12, 2021 Accepting new patients
Indian River Health Services Inc CurrentSince Jan 31, 2022 Accepting new patients
Urology Center of Northeastern Ky Urology Past Accepting new patients
Tsohns Inc Past Accepting new patients
TK Dixon MD Urology Past Accepting new patients
Indian River Health Services Inc Past Accepting new patients
WH Boykin Jr MD PSC Urology Past Accepting new patients
Sonia Chopra MD PSC Urology Past Accepting new patients

Locations

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

601 E Dixie Ave
Ste 801
Leesburg, FL 34748
Phone (352) 323-1405

10435 SE 170th Pl
Summerfield, FL 34491
Phone (352) 245-7788

1501 N US Highway 441
Ste 1832
The Villages, FL 32159
Phone (352) 391-5186

3450 11th Ct
Ste 303
Vero Beach, FL 32960
Phone (772) 794-9771

1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 10

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 3

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1679542195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100247",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10435 SE 170TH PL",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918998",
            "telephone_number": "352-630-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRICK",
        "first_name": "JAMES",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "KY",
            "license": "02564",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "OS15922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64939267",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerfield, FL

Sources for this page

Verify at the official NPI Registry.