John Paul Krcmarik, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

4301081231 Issued in MI

Practice address

5087 N Royal Dr
Traverse City, MI 49684-6987

Phone

(231) 935-0440

Fax

(231) 935-0445

NPI assigned

Jun 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Internal Medicine

Education

Loyola University of Chicago, Stritch School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Beaufort County Memorial HospitalGroup PAC ID 7810809365, 197 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beaufort County Memorial Hospital Hospital, Beaufort, SC, CCN 420067
• Coastal Carolina Hospital Hospital, Hardeeville, SC, CCN 420101

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.krcmarik@pccnw.eclinicaldirectplus.com
• Direct secure messaging: john.krcmarik.1@16436.direct.athenahealth.com

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.

• Beaufort County Memorial Hospital

  • Pulmonary Disease Physician
  • Okatie, SC
  • NPI 1831764927
  Medicare reassignment Care Compare group NPD
• Beaufort County Memorial Hospital

  dba Beaufort Memorial Emergency Medicine Physicians

  • Emergency Medicine Physician
  • Beaufort, SC
  • NPI 1871335018
  NPD
• Beaufort County Memorial Hospital

  dba Beaufort Hospital CRNA Services

  • Certified Registered Nurse Anesthetist
  • Beaufort, SC
  • NPI 1467423178
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Beaufort County Memorial Hospital

  • General Acute Care Hospital
  • Beaufort, SC
  • NPI 1366436073
  Care Compare affiliation
• South Carolina Coastal Medical Center LLC

  dba Novant Health Coastal Carolina Hospital

  • General Acute Care Hospital
  • Hardeeville, SC
  • NPI 1205605409
  Care Compare affiliation

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

{
    "created_epoch": "1120003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1932106531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5087 N ROYAL DR STE B",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846987",
            "telephone_number": "231-935-0440",
            "fax_number": "231-935-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5087 N ROYAL DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846987",
            "telephone_number": "231-935-0440",
            "fax_number": "231-935-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRCMARIK",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-29",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MI",
            "license": "4301081231",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": "4301081231",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301081231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0B81008",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "290015455",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4488322",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "John.krcmarik@pccnw.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "5087 N Royal Dr",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496846987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Kraus, LMSW
• Walter Ronald Kraus, RPH
• Jennifer Krause
• Whitney Michele Krause, LLMSW
• Julie Krauth, NP
• Rochelle Kreft, LPC
• Michele Rose Kreple, COTA
• Sallie Mae Krepps, CAC1
• Joanne Kressley
• Kris a. Stegmann, D.D.S., P.L.L.C.

• Pulmonary Disease Physician in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Pulmonary Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.

Verify at the official NPI Registry.