Kim Krach, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

51254 Issued in MA

Practice address

100 Canterbury Way
West Springfield, MA 01089-4200

Phone

(413) 531-6265

Fax

(413) 566-7234

NPI assigned

Sep 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Baystate Medical Practices, Inc

  • Emergency Medical Services (Emergency Medicine) Physician
  • Springfield, MA
  • NPI 1548205909
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465689600000",
    "number": "1952407306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CANTERBURY WAY",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010894200",
            "telephone_number": "413-531-6265",
            "fax_number": "413-566-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CANTERBURY WAY",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010894200",
            "telephone_number": "413-531-6265",
            "fax_number": "413-566-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRACH",
        "first_name": "KIM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2016-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "51254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey Christopher Kopinto, LCSW
• Jill Elise Kordas, APRN
• Lisa M Kowalczyk, OTR/L
• Katherine Kozikowski, BCBA, LABA
• KPC Enterprises
• Natasha Krahn, LICSW
• Emily Kravetz, MSW
• Louann M Krebs, M.ED., CAGS
• Caroline Amanda Krieg-Brady
• Sonia Louise Krotkov, RPA-C

• Emergency Medicine Physician in West Springfield, MA
• Providers in West Springfield, MA by specialty
• Emergency Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2016; 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.