Individual provider Active NPI

Walter Michael Krajewski, DO

  • Family Medicine Physician
  • York, PA
National Provider Identifier
1891724522
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS003504L Issued in PA
Practice address
3230 Eastern Blvd
York, PA 17402-3030
Phone
(717) 757-1755
Fax
(717) 757-2055
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS003504L PA Primary

Addresses

Primary practice location

3230 Eastern Blvd
York, PA 17402-3030

Mailing address

3230 Eastern Blvd
York, PA 17402-3030
Phone (717) 757-1755

Other identifiers 1

IdentifierTypeStateIssuer
86826MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20090115000281 PA Practitioner - Family Practice 0244281624 Practice locations: York, PA

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pleasant Acres Operating, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1891724522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 EASTERN BLVD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174023030",
            "telephone_number": "717-757-1755",
            "fax_number": "717-757-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 EASTERN BLVD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174023030",
            "telephone_number": "717-757-1755",
            "fax_number": "717-757-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAJEWSKI",
        "first_name": "WALTER",
        "middle_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS003504L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86826",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.