Active NPI
Audrey Carol Krosnowski, M.D.
- Diagnostic Radiology Physician
- Colorado Springs, CO
National Provider Identifier
1699758375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 35630
- Practice address
- 6005 Delmonico Dr
Suite 180
Colorado Springs, CO 80919-2237 - Phone
- (719) 542-7891
- NPI assigned
- Nov 28, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 35630 | CO | Primary |
Addresses
Primary practice location
6005 Delmonico Dr
Suite 180
Colorado Springs, CO 80919-2237
Mailing address
P.O. Box 973784
Dallas, TX 75397-0001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356302 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35630 | CO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sherman Radiology Group LLC | Diagnostic Radiology | Past | Accepting new patients |
| Greeley Xray Group PC | Past | Accepting new patients | |
| Radia Inc P S | Diagnostic Radiology | Past | Accepting new patients |
| Everett Radia LLC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Specialist
- Greeley, CO
- NPI 1053341008
-
- Diagnostic Radiology Physician
- Colorado Springs, CO
- NPI 1831369636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258502400000",
"number": "1699758375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 973784",
"city": "DALLAS",
"state": "TX",
"postal_code": "753970001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6005 DELMONICO DR",
"address_2": "SUITE 180",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809192237",
"telephone_number": "719-542-7891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROSNOWSKI",
"first_name": "AUDREY",
"middle_name": "CAROL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-28",
"last_updated": "2009-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "35630",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1356302",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.