Individual provider Active NPI

David Leslie Krulewitz, D.P.M.

  • Podiatrist
  • Las Vegas, NV
National Provider Identifier
1972571966
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0053 Issued in NV
Practice address
6376 Spring Mountain Rd
Las Vegas, NV 89146-8818
Phone
(702) 871-9292
Fax
(702) 871-8382
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0053 NV Primary

Addresses

Primary practice location

6376 Spring Mountain Rd
Las Vegas, NV 89146-8818

Mailing address

6376 Spring Mountain Road, #6
Las Vegas, NV 89146-8818
Phone (702) 871-9292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080922000464 NV Practitioner - Podiatry 6608853080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9455 W Russell Rd
Suite 150
Las Vegas, NV 89148-5649

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue120
Removal of nail tissue1914
Removal or shaving of skin growth706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0053NVMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
David Krulewitz DPM LTD CurrentSince Jan 1, 2002 Accepting new patients
Desert Springs Hospital Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Boulder City Hospital Inc Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

9455 W Russell Rd
Ste 150
Las Vegas, NV 89148
Phone (702) 871-9292

6376 Spring Mountain Rd
Ste 6
Las Vegas, NV 89146
Phone (702) 871-9292

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972571966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6376 SPRING MOUNTAIN ROAD, #6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891468818",
            "telephone_number": "702-871-9292",
            "fax_number": "702-871-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6376 SPRING MOUNTAIN RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891468818",
            "telephone_number": "702-871-9292",
            "fax_number": "702-871-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRULEWITZ",
        "first_name": "DAVID",
        "middle_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NV",
            "license": "0053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.