NPIMap

Individual provider Active NPI

Kevin Phillip Krul, M.D.

  • Orthopaedic Hand Surgery Physician
  • Williamsville, NY
National Provider Identifier
1689936775
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
333606-01 Issued in NY
Practice address
192 Park Club LN Ste 100
Williamsville, NY 14221-5270
Phone
(716) 204-1101
Fax
(716) 204-0914
NPI assigned
Jun 13, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 333606-01 NY
Orthopaedic Surgery Physician 207X00000X MD17249 HI
Orthopaedic Hand Surgery Physician 207XS0106X 333606-01 NY Primary

Addresses

Primary practice location

192 Park Club LN Ste 100
Williamsville, NY 14221-5270

Mailing address

192 Park Club LN Ste 120
Williamsville, NY 14221-5270
Phone (716) 559-3803

Other practice location 1

1 Jarrett White Rd
Tripler Army Medical Center
Tripler Army Medical Center, HI 96859
Phone (808) 433-3557

Other identifiers 1

IdentifierTypeStateIssuer
MD-17249OtherHIMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250311000244 NY Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 9133499858 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
State University of New York at Buffalo School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Medical Wny PCGroup PAC ID 5193907517, 207 clinicians
Mount St. Marys Hospital of Niagara FallsGroup PAC ID 4082523790, 89 clinicians

Practice addresses (Care Compare)

192 Park Club LN
Suite 100
Williamsville, NY 14221-5270
Phone (716) 204-1101

5875 S Transit Rd
Lockport, NY 14094-6340
Phone (716) 514-5700

Hospital & facility affiliations

  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078
  • Mount St. Mary'S Hospital & Health Center Hospital, Lewiston, NY, CCN 330188
  • Mercy Hospital of Buffalo Hospital, Buffalo, NY, CCN 330279
  • Kaleida Health Hospital, Buffalo, NY, CCN 330005

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD17249HIMDOrthopaedic Surgery Physician
333606-01NYMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sisters of Charity Hospital of Buffalo, New York Current Accepting new patients
Trinity Medical Wny PC CurrentSince Mar 3, 2025 Accepting new patients
Trinity Medical Wny PC Current Accepting new patients
Sisters of Charity Hospital of Buffalo New York Current Accepting new patients
Kenmore Mercy Hospital CurrentSince Mar 3, 2025 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Mar 3, 2025 Accepting new patients
Trinity Medical Wny PC CurrentSince Mar 3, 2025 Accepting new patients
Mount St. Mary'S Hospital of Niagara Falls CurrentSince Mar 3, 2025 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Mar 3, 2025 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Mar 1, 2025 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Mar 1, 2025 Accepting new patients
Kenmore Mercy Hospital CurrentSince Mar 3, 2025 Accepting new patients

Locations

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

5875 S Transit Rd
Lockport, NY 14094
Phone (716) 433-7730

5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

192 Park Club Ln
Ste 100
Williamsville, NY 14221
Phone (716) 667-7463

192 Park Club Ln
Ste 120
Williamsville, NY 14221
Phone (716) 422-0010

Interoperability endpoints

  • Direct secure messaging: kkrul412419@direct.chsbuffalo.org

Organizations & group practices 12

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 10

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": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1689936775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 PARK CLUB LN STE 120",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215270",
            "telephone_number": "716-559-3803",
            "fax_number": "716-961-4198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 PARK CLUB LN STE 100",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215270",
            "telephone_number": "716-204-1101",
            "fax_number": "716-204-0914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Jarrett White Rd",
            "address_2": "Tripler Army Medical Center",
            "address_purpose": "LOCATION",
            "city": "Tripler Army Medical Center",
            "state": "HI",
            "postal_code": "96859",
            "country_code": "US",
            "telephone_number": "808-433-3557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUL",
        "first_name": "KEVIN",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-13",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "333606-01",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "HI",
            "license": "MD17249",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NY",
            "license": "333606-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD",
            "identifier": "MD-17249",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.