Active NPI
Richard Kroll, MD
- Urology Physician
- West Nyack, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 1135Z9
- Practice address
- 2 Medical Park Dr
West Nyack, NY 10994-1965 - Phone
- (845) 354-5000
- Fax
- (854) 354-9469
- NPI assigned
- Dec 5, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | CDRH.0055297 | CO | |
| Urology Physician | 208800000X | 58636 | AZ | |
| Urology Physician | 208800000X | 1135Z9 | NY | Primary |
Addresses
Primary practice location
2 Medical Park Dr
West Nyack, NY 10994-1965
Mailing address
20 Grand Street, 3Rd FL
Warwick, NY 10990-1035
Phone (845) 777-3569
Other practice location 1
1010 Three Springs Blvd Ste 270
Durango, CO 81301-8296
Phone (970) 764-3845
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
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 89.06 of 100
- Quality
- 89.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDRH.0055297 | CO | MD | Urology Physician |
| 1135Z9 | NY | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Kingman Healthcare, Inc | Family Medicine | Past | Accepting new patients |
| Catholic Health Initiatives Colorado | Past | Accepting new patients |
Locations
9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193
1010 Three Springs Blvd
Ste 270
Durango, CO 81301
Phone (970) 764-3800
41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670544000000",
"number": "1831173582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 GRAND STREET, 3RD FL",
"city": "WARWICK",
"state": "NY",
"postal_code": "109901035",
"telephone_number": "845-777-3569",
"fax_number": "845-987-5979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MEDICAL PARK DR",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "109941965",
"telephone_number": "845-354-5000",
"fax_number": "854-354-9469"
}
],
"practiceLocations": [
{
"address_1": "1010 Three Springs Blvd Ste 270",
"address_purpose": "LOCATION",
"city": "Durango",
"state": "CO",
"postal_code": "813018296",
"country_code": "US",
"telephone_number": "970-764-3845",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KROLL",
"first_name": "RICHARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-05",
"last_updated": "2022-12-09",
"certification_date": "2022-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CO",
"license": "CDRH.0055297",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "AZ",
"license": "58636",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "1135Z9",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.