NPIMap

Individual provider Active NPI

Kent G Krejci, M.D.

  • Urology Physician
  • Annapolis, MD
National Provider Identifier
1962447334
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
D0064158 Issued in MD
Practice address
600 Ridgely Ave
Ste 130
Annapolis, MD 21401-1001
Phone
(410) 266-8049
Fax
(410) 266-0895
NPI assigned
Jun 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0064158 MD
Urology Physician 208800000X D0064158 MD Primary

Addresses

Primary practice location

600 Ridgely Ave
Ste 130
Annapolis, MD 21401-1001

Mailing address

600 Ridgely Ave
Ste 130
Annapolis, MD 21401-1001
Phone (410) 266-8049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060413000335 MD Practitioner - Urology 8123052206 Reassigns benefits to 2 organizations
I20070912000617 DC Practitioner - Rheumatology 8123052206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Temple University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Union Hospital of Cecil CountyGroup PAC ID 6901719822, 281 clinicians
Anne Arundel Urology, PAGroup PAC ID 9032178918, 33 clinicians

Practice addresses (Care Compare)

106 Bow St
Elkton, MD 21921-5544
Phone (410) 398-4000

4201 Northview Dr
Suite 201
Bowie, MD 20716-2656
Phone (240) 544-4070

600 Ridgely Ave
Suite 130
Annapolis, MD 21401-1045
Phone (410) 266-8049

Hospital & facility affiliations

  • Luminis Health Anne Arundel Medical Center, Inc Hospital, Annapolis, MD, CCN 210023
  • Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009
  • Luminis Health Doctors Community Medical Ctr, Inc Hospital, Lanham, MD, CCN 210051
  • Union Hospital of Cecil County Hospital, Elkton, MD, CCN 210032
  • University of MD Baltimore Washington Medical Center Hospital, Glen Burnie, MD, CCN 210043

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection17

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital of Cecil County CurrentSince Aug 10, 2021 Accepting new patients
Anne Arundel Urology, PA Specialist CurrentSince Jun 14, 2007 Accepting new patients
Anne Arundel Urology, PA Urology CurrentSince Jan 21, 2024 Accepting new patients
Anne Arundel Urology, PA Specialist CurrentSince Sep 18, 2006 Accepting new patients
Union Hospital of Cecil County Urology CurrentSince Aug 10, 2021 Accepting new patients
Aau Greenbelt ASC LLC Past Accepting new patients

Locations

600 Ridgely Ave
Ste 130
Annapolis, MD 21401
Phone 4102668049157

4201 Northview Dr
Ste 201
Bowie, MD 20716
Phone (240) 544-4070

111 W High St
Ste 304
Elkton, MD 21921
Phone (410) 392-5938

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

305 Hospital Dr
Ste 303
Glen Burnie, MD 21061
Phone (410) 282-3300

7855 Walker Dr
Ste 102
Greenbelt, MD 20770

1106 Annapolis Rd
Ste 250
Odenton, MD 21113

Interoperability endpoints

  • Direct secure messaging: kkrejci22418@direct.umm.edu

Organizations & group practices 11

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": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1962447334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 RIDGELY AVE",
            "address_2": "STE 130",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011001",
            "telephone_number": "410-266-8049",
            "fax_number": "410-266-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 RIDGELY AVE",
            "address_2": "STE 130",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011001",
            "telephone_number": "410-266-8049",
            "fax_number": "410-266-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREJCI",
        "first_name": "KENT",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0064158",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MD",
            "license": "D0064158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.