Individual provider Active NPI

Joseph G Krick, M.D.

  • Surgery Physician
  • Tullahoma, TN
National Provider Identifier
1750386181
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD018522 Issued in TN
Practice address
1805 N Jackson St Ste 14
Tullahoma, TN 37388-2275
Phone
(931) 563-7675
Fax
(877) 409-2636
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD018522 TN Primary

Addresses

Primary practice location

1805 N Jackson St Ste 14
Tullahoma, TN 37388-2275

Mailing address

PO Box 1866
Tullahoma, TN 37388-1866
Phone (931) 563-7675

Other identifiers 5

IdentifierTypeStateIssuer
0074401OtherTNBLUE CROSS PROVIDER NUMBE
621340377OtherTNTRICARE NUMBER
100001547OtherTNRAILROAD MEDICARE NUMBER
1740206OtherTNUNITED HEALTHCARE NUMBER
3030060MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20041025001025 TN Practitioner - General Surgery 8022079730 Practice locations: Tullahoma, TN; Manchester,, TN; Tullahoma,, TN

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Emory University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1750 Cedar LN
Suite 100
Tullahoma, TN 37388-4760
Phone (931) 455-7779

1805 N Jackson St
Suite 14
Tullahoma, TN 37388-2275
Phone (931) 563-7675

Hospital & facility affiliations

  • Vanderbilt Tullahoma-Harton Hospital Hospital, Tullahoma, TN, CCN 440144
  • Vanderbilt University Medical Center Hospital, Nashville, TN, CCN 440039

Merit-based Incentive Payment System (MIPS)

Final score
91.17 of 100Reported as individual
Quality
95
Improvement activities
40
Cost
77.23

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy186
Hernia repair - groin (open)17
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux151
Removal of tissue1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD018522TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ambulatory Surgical Associates LLC Current Accepting new patients
Abilishealth McMinnville, LLC PastSince Feb 19, 2023 Accepting new patients

Locations

725 Kings Ln
Tullahoma, TN 37388
Phone (931) 455-1976

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHCJCD/Endpoint/IHCJCD

Organizations & group practices 2

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1750386181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1866",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373881866",
            "telephone_number": "931-563-7675",
            "fax_number": "877-409-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 N JACKSON ST STE 14",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882275",
            "telephone_number": "931-563-7675",
            "fax_number": "877-409-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRICK",
        "first_name": "JOSEPH",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD018522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "0074401",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE NUMBER",
            "identifier": "621340377",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "100001547",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE NUMBER",
            "identifier": "1740206",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3030060",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

Verify at the official NPI Registry.