Individual provider Active NPI

Michael Andrew Krew, MD

  • Maternal & Fetal Medicine Physician
  • Canton, OH
National Provider Identifier
1780605873
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
53473 Issued in OH
Practice address
2600 Tuscarawas St W Ste 300
Canton, OH 44708-4694
Phone
(330) 363-6296
NPI assigned
Jul 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35OS3473 OH
Maternal & Fetal Medicine Physician 207VM0101X 53473 OH Primary

Addresses

Primary practice location

2600 Tuscarawas St W Ste 300
Canton, OH 44708-4694

Mailing address

2600 Sixth Street SW
Aultman Hospital
Canton, OH 44710
Phone (330) 452-9911

Other identifiers 1

IdentifierTypeStateIssuer
0628137MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mkrew97298@direct.chmca.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100923001571 OH Practitioner - Obstetrics/Gynecology 0042336380 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Northwestern University Feinberg Medical School, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Perkins SQ
Akron, OH 44308-1063
Phone (330) 543-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35OS3473OHMDObstetrics & Gynecology Physician
53473OHMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
My Community Health Center Obstetrics & Gynecology CurrentSince Nov 27, 2016 Accepting new patients
Aultman Hospital CurrentSince Jul 13, 1992 Accepting new patients
Stark County Pathologists Inc Current Accepting new patients
Children'S Hospital Medical Center of Akron Current Accepting new patients
Canton Aultman Emergency Physicians Inc Current Accepting new patients
Children'S Hospital Medical Center of Akron CurrentSince Oct 6, 2019 Accepting new patients
Akron Children'S Hospital Current Accepting new patients
Ohio Physician Professional Corporation CurrentSince Aug 1, 2010 Accepting new patients
My Community Health Center Obstetrics & Gynecology CurrentSince Nov 27, 2016 Accepting new patients
Children'S Hospital Medical Center of Akron CurrentSince Oct 6, 2019 Accepting new patients
Aultman Hospital CurrentSince Jul 13, 1992 Accepting new patients

Locations

1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

2600 Tuscarawas St W
Ste 300
Canton, OH 44708
Phone (330) 455-0581

2600 7th St SW
Canton, OH 44710
Phone (330) 363-6242

Organizations & group practices 11

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 1

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1780605873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 SIXTH STREET SW",
            "address_2": "AULTMAN HOSPITAL",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44710",
            "telephone_number": "330-452-9911",
            "fax_number": "330-588-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 TUSCARAWAS ST W STE 300",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447084694",
            "telephone_number": "330-363-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREW",
        "first_name": "MICHAEL",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35OS3473",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "OH",
            "license": "53473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0628137",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkrew97298@direct.chmca.org",
            "affiliation": "N",
            "endpointDescription": "Direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2600 Tuscarawas St W Ste 300",
            "city": "Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "447084694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.