Individual provider Active NPI

Krzysztof Kacprzak, M.D.

  • Internal Medicine Physician
  • Webster, MA
National Provider Identifier
1952364523
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
223405 Issued in MA
Practice address
72 Cudworth Rd
Webster, MA 01570-3157
Phone
(508) 461-0011
Fax
(508) 949-8104
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 223405 MA Primary

Addresses

Primary practice location

72 Cudworth Rd
Webster, MA 01570-3157

Mailing address

72 Cudworth Rd
Webster, MA 01570-3157
Phone (508) 949-8118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050509000925 MA Practitioner - Internal Medicine 7911947957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inter Med Associates, P.C.Group PAC ID 8426955931, 4 clinicians

Practice addresses (Care Compare)

72 Cudworth Rd
Webster, MA 01570-3157
Phone (508) 461-0011

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223405MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inter Med Associates, P.C. Internal Medicine CurrentSince Apr 4, 2005 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

72 Cudworth Rd
Webster, MA 01570
Phone (508) 461-0011

Interoperability endpoints

  • FHIR API: https://fhir.healthtogo.me/fhir/r4/mednetmedical.ima

Organizations & group practices 2

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 6

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282867200000",
    "number": "1952364523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 CUDWORTH RD",
            "city": "WEBSTER",
            "state": "MA",
            "postal_code": "015703157",
            "telephone_number": "508-949-8118",
            "fax_number": "508-461-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 CUDWORTH RD",
            "city": "WEBSTER",
            "state": "MA",
            "postal_code": "015703157",
            "telephone_number": "508-461-0011",
            "fax_number": "508-949-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACPRZAK",
        "first_name": "KRZYSZTOF",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2010-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "223405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, MA

Sources for this page

Verify at the official NPI Registry.