Individual provider Active NPI

Piotr Krecioch, M.D.

  • Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1699074294
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD438055 Issued in PA
Practice address
230 N Broad St
Philadelphia, PA 19102-1121
Phone
(215) 762-7000
NPI assigned
Mar 22, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X MD438055 PA
Surgery Physician 208600000X MD438055 PA Primary

Addresses

Primary practice location

230 N Broad St
Philadelphia, PA 19102-1121

Mailing address

41 University Dr Ste 106
Newtown, PA 18940-1873

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address piotr.krecioch.1@16196.direct.athenahealth.com Direct Mercy Management of Southeastern Pennsylvania

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20140902000246 PA Practitioner - General Surgery 3577781780 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suburban Medical Group LLCGroup PAC ID 6204145642, 29 clinicians

Practice addresses (Care Compare)

5735 Ridge Ave
Suite 106
Philadelphia, PA 19128-1746
Phone (215) 487-1887

Hospital & facility affiliations

  • Roxborough Memorial Hospital Hospital, Philadelphia, PA, CCN 390304
  • Lower Bucks Hospital Hospital, Bristol, PA, CCN 390070

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD438055PAMDGeneral Acute Care Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Medical Group LLC Surgery CurrentSince Jun 1, 2024 Accepting new patients
Geisinger Clinic CurrentSince Aug 1, 2014 Accepting new patients
Geisinger Clinic Current Accepting new patients
Wellspan Medical Group Current Accepting new patients
Roxborough Medical Group LLC Surgery CurrentSince Apr 1, 2025 Accepting new patients
BMC Specialty Physicians LLC Past Accepting new patients
Roxborough Medical Network LLC Past Accepting new patients

Locations

501 Bath Rd
Bristol, PA 19007
Phone (215) 785-9200

501 Bath Rd
Fl 2
Bristol, PA 19007
Phone (609) 601-4920

100 N Academy Ave
Danville, PA 17822

2701 DeKalb Pike
Fl 2
East Norriton, PA 19401
Phone (610) 275-1028

2705 DeKalb Pike
Ste 309
Norristown, PA 19401
Phone (610) 275-0200

5800 Ridge Ave
Ste 106
Philadelphia, PA 19128
Phone (215) 487-4244

5735 Ridge Ave
Ste 105
Philadelphia, PA 19128
Phone (215) 482-4542

5800 Ridge Ave
Ste 103
Philadelphia, PA 19128
Phone (215) 487-4244

5800 Ridge Ave
Philadelphia, PA 19128
Phone (215) 487-4334

5735 Ridge Ave
Ste 106
Philadelphia, PA 19128
Phone (215) 482-2412

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

Interoperability endpoints

  • Direct secure messaging: pkrecioch85056@direct.trinity-health.org

Organizations & group practices 7

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 2

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": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1699074294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 UNIVERSITY DR STE 106",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021121",
            "telephone_number": "215-762-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRECIOCH",
        "first_name": "PIOTR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-22",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PA",
            "license": "MD438055",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD438055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "piotr.krecioch.1@16196.direct.athenahealth.com",
            "affiliation": "Y",
            "endpointDescription": "Mercy Management of Southeastern Pennsylvania Direct Email Address",
            "affiliationName": "Mercy Management of Southeastern Pennsylvania",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1501 Lansdowne Ave Ste 307",
            "city": "Darby",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190231333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.