Active NPI
Kurt Andrew Krupnick, M.D.
- Internal Medicine Physician
- Prescott, AZ
National Provider Identifier
1700836129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 42104
- Practice address
- 5327 Crescent Edge Dr
Prescott, AZ 86301-0105 - Phone
- (928) 515-1755
- Fax
- (928) 277-1627
- NPI assigned
- May 10, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 42104 | AZ | Primary |
Addresses
Primary practice location
5327 Crescent Edge Dr
Prescott, AZ 86301-0105
Mailing address
5327 Crescent Edge Dr
Prescott, AZ 86301-0105
Phone (928) 515-1755
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043346203 0078 | Other | VT | CIGNA |
| 317297 | Other | VT | MVP |
| 043346203012 | Other | VT | TRICARE |
| KRUP11138661 | Other | VT | BC BS OF VERMONT |
| 0VN1768 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090721000023 | AZ | Practitioner - Internal Medicine | 8426157090 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3181 Clearwater Dr
Suite B
Prescott, AZ 86305-7196
Phone (928) 227-2796
Hospital & facility affiliations
- Mountain Valley Home for Health
- Bayada Home Health Care, Inc.
- Assisteo North Hospice, LLC
- Assisteo Hospice, LLC
- Yavapai Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sirius Health & Wellness LLC | Current | Accepting new patients | |
| Krupnick Healthcare, LLC | Current | Accepting new patients | |
| Vermont Physicians Clinic | Internal Medicine | Past | Accepting new patients |
Locations
3181 Clearwater Dr
Ste B
Prescott, AZ 86305
Phone (928) 227-2796
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.
-
- Primary Care Clinic/Center
- Prescott, AZ
- NPI 1902234438
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Prescott, AZ
- NPI 1447544689
-
- Home Health Agency
- Prescott Valley, AZ
- NPI 1174904130
-
- General Acute Care Hospital
- Prescott, AZ
- NPI 1902897820
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1700836129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5327 CRESCENT EDGE DR",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863010105",
"telephone_number": "928-515-1755",
"fax_number": "928-277-1627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5327 CRESCENT EDGE DR",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863010105",
"telephone_number": "928-515-1755",
"fax_number": "928-277-1627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUPNICK",
"first_name": "KURT",
"middle_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "42104",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "043346203 0078",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "317297",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "043346203012",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS OF VERMONT",
"identifier": "KRUP11138661",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0VN1768",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.