Marc Crescenzo, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

42958020 Issued in WI

Practice address

10400 75TH St
Aurora Medical Center
Kenosha, WI 53142

Phone

(262) 697-7000

Fax

(630) 734-1560

NPI assigned

Dec 1, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL, IN2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Community Care Network Inc

  • Family Medicine Physician
  • St John, IN
  • NPI 1457610487
  Medicare reassignment NPD
• Vituity-California Observation Services PC

  • Hospitalist Physician
  • Munster, IN
  • NPI 1902794266
  Medicare reassignment NPD
• Illinois Hospital Medicine Associates PC

  • Obstetrics & Gynecology Physician
  • Peoria, IL
  • NPI 1376906867
  NPD
• Mea Chicago PC

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1891216354
  NPD
• Vituity-California Observation Services PC

  • Emergency Medicine Physician
  • Sacramento, CA
  • NPI 1447148705
  NPD
• Mea-Aea Kenosha SC

  • Emergency Medicine Physician
  • Kenosha, WI
  • NPI 1477546737
  NPD (past)
• Anesthesia & Pain Treatment of Indiana, P.C.

  • Anesthesiology Physician
  • Anderson, IN
  • NPI 1841692365
  NPD (past)
• Emergency Physician Associates of Indiana PC

  • Emergency Medicine Physician
  • East Chicago, IN
  • NPI 1639634637
  NPD (past)
• Mea-SJ Care Centers, LLC

  • Emergency Medicine Physician
  • Lake in the Hills, IL
  • NPI 1275570806
  NPD (past)
• Midwest Emergency Associates-Munster, LLC

  • Emergency Medicine Physician
  • Munster, IN
  • NPI 1205166865
  NPD (past)
• Midwest Emergency Associates, LLC

  • Emergency Medicine Physician
  • Hoffman Estates, IL
  • NPI 1437196623
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1881678993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3043",
            "address_2": "MEA-AEA KENOSH SC",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "60522",
            "telephone_number": "630-734-0200",
            "fax_number": "630-734-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 75TH ST",
            "address_2": "AURORA MEDICAL CENTER",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "53142",
            "telephone_number": "262-697-7000",
            "fax_number": "630-734-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESCENZO",
        "first_name": "MARC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01053339A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "42958020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34051300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Devin Michael Crawford, RN
• John Robert Crawford, DDS, MS
• Patrick J Crawford, D.D.S, S.C.
• Creative Storm Therapy, LLC
• Nicole Cremona, LPC-IT
• David J. Crewe, D.D.S.
• Nathan James Croatt, OTR/L
• Crossroads Care Center of Kenosha
• Crowe Group LTD.
• Wendy Susan Crowe-Haugstad, DDS

• Emergency Medicine Physician in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Emergency Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.