Jeanette Krolikowski, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20A9312 Issued in CA

Practice address

1580 Valencia St
Ste 506
San Francisco, CA 94110-4423

Phone

(415) 641-2128

Fax

(415) 641-6831

NPI assigned

Mar 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Other, 2000

Medicare assignment

May accept Medicare assignment

Group practices

Marin Community ClinicGroup PAC ID 0840108031, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sutter Care at Home Home health agency, Novato, CA, CCN 057031
• Novato Community Hospital Hospital, Novato, CA, CCN 050131
• Marinhealth Medical Center Hospital, Greenbrae, CA, CCN 050360

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jkrolikowski585058@direct.ochin.org

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.

• Marin Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Novato, CA
  • NPI 1003900101
  Medicare reassignment Care Compare group NPD
• Marin Community Clinic

  • Federally Qualified Health Center (FQHC)
  • San Rafael, CA
  • NPI 1508514902

  Internal Medicine

  NPD
• Marin General Hospital

  • General Acute Care Hospital
  • Greenbrae, CA
  • NPI 1396725677
  NPD (past)
• St Lukes Health Care Center

  • Clinic/Center
  • San Francisco, CA
  • NPI 1558390716
  NPD (past)
• Sutter Bay Hospitals

  • General Acute Care Hospital
  • Novato, CA
  • NPI 1104059153
  NPD (past)
• Sutter Bay Hospitals

  • General Acute Care Hospital
  • San Francisco, CA
  • NPI 1730238007
  NPD (past)
• Sutter Bay Hospitals

  • Clinic/Center
  • San Francisco, CA
  • NPI 1871826925
  NPD (past)

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

• Marin General Hospital

  • General Acute Care Hospital
  • Greenbrae, CA
  • NPI 1396725677
  Care Compare affiliation
• Sutter Bay Hospitals

  • General Acute Care Hospital
  • Novato, CA
  • NPI 1104059153
  Care Compare affiliation
• Sutter Visiting Nurse Association and Hospice

  • Home Health Agency
  • Novato, CA
  • NPI 1265461024
  Care Compare affiliation

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281312000000",
    "number": "1962471920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60000",
            "address_2": "FILE 74175",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941600001",
            "telephone_number": "415-641-2177",
            "fax_number": "415-641-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 VALENCIA ST",
            "address_2": "STE 506",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941104423",
            "telephone_number": "415-641-2128",
            "fax_number": "415-641-6831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROLIKOWSKI",
        "first_name": "JEANETTE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2010-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A9312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "20A9312",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Kritikos, AGNP-C
• Olivia Krivanek
• Logan Harten Kroeber
• Jerry Howard Kroft, M.D.
• Justin David Krogue, M.D.
• Maureen Gregg Kroll, MFT
• Victoria Kromnick
• Thomas Edward Kroncke, CADC 2
• Dennielle Kronenberg, LCSW
• Warren D Kronenberg, MD

• Internal Medicine Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; 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.