Active NPI
Marko F Krpan, DO
- Orthopaedic Hand Surgery Physician
- Crystal Lake, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- 036-097251
- Practice address
- 415 E Congress Pkwy Ste a
Crystal Lake, IL 60014-6248 - Phone
- (815) 356-7494
- Fax
- (815) 356-7541
- NPI assigned
- Nov 28, 2006
- Last updated
- Sep 26, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | 036-097251 | IL | Primary |
| Orthopaedic Hand Surgery Physician | 207XS0106X | 38709 | WI |
Addresses
Primary practice location
415 E Congress Pkwy Ste a
Crystal Lake, IL 60014-6248
Mailing address
415 E Congress Pkwy Ste a
Crystal Lake, IL 60014-6248
Phone (815) 356-7494
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036097251 2 | Medicaid | IL | |
| KRPANMAR | Other | WI | MERCYCARE INSURANCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2350 N Rockton Ave
Rockford, IL 61103-3600
Phone (815) 971-2000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 21 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-097251 | IL | MD | Orthopaedic Hand Surgery Physician |
| 38709 | WI | MD | Orthopaedic Hand Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockford Health Physicians | Current | Accepting new patients | |
| Mercy Harvard Hospital Inc | Current | Accepting new patients | |
| Mercy Harvard Hospital Inc | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Specialists in Medical Imaging SC | Past | Accepting new patients |
Locations
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
415 E Congress Pkwy
Ste A
Crystal Lake, IL 60014
Phone (815) 356-7494
348 S Division St
Harvard, IL 60033
Phone (815) 943-1122
901 Grant St
Harvard, IL 60033
Phone (815) 943-2961
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
2350 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-2200
Interoperability endpoints
- mkrpan3361@direct.mhemail.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mercyhealth Physicians
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
- Critical Access Hospital
- Harvard, IL
- NPI 1427001445
-
dba MHS Physician Services
- Multi-Specialty Clinic/Center
- Janesville, WI
- NPI 1598718603
IL
-
dba Mercy Harvard Care Center
- Skilled Nursing Facility
- Harvard, IL
- NPI 1124195557
-
dba Mercy Walworth Hospital and Medical Center
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
-
- Diagnostic Radiology Physician
- Olympia Fields, IL
- NPI 1841687951
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1629118609
-
dba Mercyhealth at Home
- Home Health Agency
- Rockford, IL
- NPI 1093821654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474848000000",
"number": "1992871347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 E CONGRESS PKWY STE A",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600146248",
"telephone_number": "815-356-7494",
"fax_number": "815-356-7541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 E CONGRESS PKWY STE A",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600146248",
"telephone_number": "815-356-7494",
"fax_number": "815-356-7541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRPAN",
"first_name": "MARKO",
"middle_name": "F",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2016-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "IL",
"license": "036-097251",
"primary": true
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "WI",
"license": "38709",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036097251 2",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCYCARE INSURANCE",
"identifier": "KRPANMAR",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.
- 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.