NPIMap

Individual provider Active NPI

Andrew J Krutul, MD

  • Nephrology Physician
  • Lafayette, IN
National Provider Identifier
1841387529
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
01081872A Issued in IN
Practice address
3920 St Francis Way Ste 220
Lafayette, IN 47905-4922
Phone
(765) 428-5950
Fax
(765) 428-5951
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 01081872A IN Primary

Addresses

Primary practice location

3920 St Francis Way Ste 220
Lafayette, IN 47905-4922

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address akrutul430160@Direct.FranciscanAlliance.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190605001990 IN Practitioner - Nephrology 9032005210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

3920 St Francis Way
Suite 220
Lafayette, IN 47905-4922
Phone (765) 428-5950

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01081872AINMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network CurrentSince Jul 1, 2019 Accepting new patients
Franciscan Physician Network CurrentSince Jul 1, 2019 Accepting new patients
Renal Associates of West Michigan PC Nephrology Current Accepting new patients
Renal and Hypertension Specialists, PLLC Nephrology PastSince Mar 1, 2012 Accepting new patients
Rai Care Centers of Holland, LLC PastSince Apr 30, 2003 Accepting new patients

Locations

1704 Lafayette Rd
Ste 2
Crawfordsvlle, IN 47933
Phone (765) 359-2088

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

3920 St Francis Way
Ste 220
Lafayette, IN 47905
Phone (765) 428-5950

826 N 6th St
Monticello, IN 47960
Phone (574) 583-1924

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

310 Lafayette Ave SE
Ste 410
Grand Rapids, MI 49503
Phone (616) 685-8200

330 E Beltline Ave NE
Ste 100
Grand Rapids, MI 49506
Phone (616) 752-6235

310 Lafayette Ave SE
Grand Rapids, MI 49503
Phone (616) 685-3450

Interoperability endpoints

  • Direct secure messaging: akrutul430160@direct.franciscanalliance.org

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.

Hospital & facility affiliations 9

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1841387529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 ST FRANCIS WAY STE 220",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054922",
            "telephone_number": "765-428-5950",
            "fax_number": "765-428-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUTUL",
        "first_name": "ANDREW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "01081872A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akrutul430160@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3920 St Francis Way Ste 220",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "47905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.