Active NPI
Joseph G Krick, M.D.
- Surgery Physician
- Tullahoma, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD018522
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0074401 | Other | TN | BLUE CROSS PROVIDER NUMBE |
| 621340377 | Other | TN | TRICARE NUMBER |
| 100001547 | Other | TN | RAILROAD MEDICARE NUMBER |
| 1740206 | Other | TN | UNITED HEALTHCARE NUMBER |
| 3030060 | Medicaid | TN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Vanderbilt University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.17 of 100
- Quality
- 95
- Improvement activities
- 40
- Cost
- 77.23
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 186 |
| Hernia repair - groin (open) | 17 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 151 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD018522 | TN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ambulatory Surgical Associates LLC | Current | Accepting new patients | |
| Abilishealth McMinnville, LLC | Past | Accepting new patients |
Locations
725 Kings Ln
Tullahoma, TN 37388
Phone (931) 455-1976
Interoperability endpoints
- 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.
-
- Ambulatory Surgical Clinic/Center
- Tullahoma, TN
- NPI 1356307565
-
- Home Health Agency
- McMinnville, TN
- NPI 1275013229
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tullahoma, TN
- NPI 1831798719
-
- General Acute Care Hospital
- Nashville, TN
- NPI 1396882205
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.