Active NPI
Richard Alan Krull, M.D.
- Hematology & Oncology Physician
- Augusta, ME
National Provider Identifier
1700829629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 015379
- Practice address
- 361 Old Belgrade Rd
Alfond Cancer Center
Augusta, ME 04330-8058 - Phone
- (207) 621-6100
- Fax
- (207) 621-6102
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 015379 | ME | Primary |
Addresses
Primary practice location
361 Old Belgrade Rd
Alfond Cancer Center
Augusta, ME 04330-8058
Mailing address
361 Old Belgrade Rd
Alfond Cancer Center
Augusta, ME 04330-8058
Phone (207) 621-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31180099 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015379 | ME | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mercy Hospital | Past | Accepting new patients | |
| Mercy Hospital | Past | Accepting new patients |
Locations
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
Organizations & group practices 3
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.
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- General Acute Care Hospital
- Portland, ME
- NPI 1427313048
-
- General Acute Care Hospital
- Portland, ME
- NPI 1629078712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215043200000",
"number": "1700829629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "361 OLD BELGRADE RD",
"address_2": "ALFOND CANCER CENTER",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043308058",
"telephone_number": "207-621-6100",
"fax_number": "207-621-6102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "361 OLD BELGRADE RD",
"address_2": "ALFOND CANCER CENTER",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043308058",
"telephone_number": "207-621-6100",
"fax_number": "207-621-6102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRULL",
"first_name": "RICHARD",
"middle_name": "ALAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2008-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "ME",
"license": "015379",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31180099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.