Dianne Kreptowski, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34-00-6419K Issued in OH

Practice address

6509 Frank Ave NW
North Canton, OH 44720-7265

Phone

(330) 244-0480

Fax

(330) 244-2230

NPI assigned

Aug 25, 2006

Last updated

Mar 28, 2016By the provider in NPPES

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 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

Specialty

Family Practice

Education

Ohio University, College of Osteopathic Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Affinity Care of Northern Ohio LLC Hospice, Munroe Falls, OH, CCN 361725
• Affinity Care of Ohio LLC Hospice, Cincinnati, OH, CCN 361713
• Aultman Hospital Hospital, Canton, OH, CCN 360084
• Mercy Medical Center Hospital, Canton, OH, CCN 360070

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dianne.kreptowski.1@12074.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/12074/brand/1/csg/1/fhir/r4

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.

• Kreptowski Family Practice LLC

  • Family Medicine Physician
  • North Canton, OH
  • NPI 1922277656
  Medicare reassignment NPD Authorized official
• Echoing Hills Village, Inc.

  dba Echoing Hills Residential Center

  • Intellectual Disabilities Intermediate Care Facility
  • Warsaw, OH
  • NPI 1831122621
  NPD (past)
• Lake Anna Primary Care

  • Family Medicine Physician
  • Wadsworth, OH
  • NPI 1083897136
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Affinity Care of Northern Ohio LLC

  • Community Based Hospice Care Agency
  • Munroe Falls, OH
  • NPI 1831845411
  Care Compare affiliation
• Affinity Care of Ohio LLC

  • Community Based Hospice Care Agency
  • Cincinnati, OH
  • NPI 1083212831
  Care Compare affiliation
• Aultman Hospital

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1356366991
  Care Compare affiliation
• Cleveland Clinic Mercy Hospital

  dba Mercy Medical Center

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1366433195
  Care Compare affiliation

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1679681282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6509 FRANK AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207265",
            "telephone_number": "330-244-0480",
            "fax_number": "330-244-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6509 FRANK AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207265",
            "telephone_number": "330-244-0480",
            "fax_number": "330-244-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREPTOWSKI",
        "first_name": "DIANNE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-00-6419K",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2059294",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heidi Krah, OTR/L
• Christine Mary Kramer
• Michelle L Kramer, LPTA
• Barbara Jean Kraynik, PT
• Kreptowski Family Practice LLC
• Hannah Nicole Kriehbaum, COTA/L
• Sheila R Kries, PT
• Trudy G Krischak, LPTA
• Ramesh Krishnamurthi, MD
• Vickie L Krites, LPTA

• Family Medicine Physician in North Canton, OH
• Providers in North Canton, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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.