1. Home
  2. Directory
  3. New York
  4. Delmar
  5. Pediatrics
  6. NPI Profile

DR. KENNETH J KROOPNICK M.D.
NPI 1053303974
Pediatrics in Delmar, NY

Active since August 17, 2005PECOS Enrolled
4 NORMANSKILL BLVD, DELMAR, NY 12054(518) 478-9423(518) 439-7046 Get Directions Write a Review

NPPES record last updated: August 29, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kenneth J Kroopnick M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH J KROOPNICK M.D. (NPI 1053303974) is an individual pediatrics provider in Delmar, New York, licensed in New York (173016) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053303974
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. KENNETH J KROOPNICKCredential: M.D.
Location Address4 NORMANSKILL BLVDDelmar, NY 12054-1335
Mailing Address4 Normanskill BlvdDelmar, NY 12054-1335 · (518) 478-9423 · Fax (518) 439-7046
Phone(518) 478-9423
Fax(518) 439-7046
Sole ProprietorNo
Enumeration DateAugust 17, 2005
Last NPPES UpdateAugust 29, 2012
✔ NPI 1053303974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 173016
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4 NORMANSKILL BLVD, Delmar, NY 12054
Open in Google Maps ↗

Other Identifiers 3

Medicare PINRA2955NY
Medicare UPINB83028NY
Medicaid01100187NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth J Kroopnick M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Kenneth Kroopnick reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Peter's Health Partners Medical Associates, P.C.
2.0 mi
Surgery
317 SOUTH MANNING BLVD SUITE C364, ST PETER'S BREAST SURGERY
Albany, NY 12208
  • Reassigned Medicare billing, New York enrollment
  • 742 clinicians in this Medicare group
NPI 1174954606 (518) 641-6936
Whitney M. Young, Jr. Health Center, Inc.
3.3 mi
Federally Qualified Health Center (FQHC)
526 CENTRAL AVE
Albany, NY 12206
  • Reassigned Medicare billing, New York enrollment
  • 28 clinicians in this Medicare group
NPI 1710623913 (518) 465-4771

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12054 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACK DEVORE, OD
Eyewear Supplier
4 NORMANSKILL BLVD
DELMAR, NY 12054
Albany County (518) 478-9992
DR. JACK DEVORE O.D.
Optometrist
4 NORMANSKILL BLVD, SUITE 400
DELMAR, NY 12054
Albany County (518) 478-9992
MS. NANCY NOBLE GARDNER LCSW
Social Worker (Clinical)
4 NORMANSKILL BLVD
DELMAR, NY 12054
Albany County (518) 465-9700
SAVINO CHIROPRACTIC PLLC
Chiropractor
4 NORMANSKILL BLVD, SUITE 404
DELMAR, NY 12054
Albany County (518) 439-1100
DR. ROBERT BRAND DDS
Dentist (General Practice)
4 NORMANSKILL BLVD
DELMAR, NY 12054
Albany County (518) 475-7822
RENAISSANCE DENTAL PC
Dentist
4 NORMANSKILL BLVD
DELMAR, NY 12054
Albany County (518) 261-4800
GINA MARIE CIARMIELLO OD
Optometrist
4 NORMANSKILL BLVD, SUITE 400
DELMAR, NY 12054
Albany County (518) 478-9992
CAPITAL AREA HUDSON VALLEY NY DENTAL, PC
Dentist (General Practice)
4 NORMANSKILL BLVD
DELMAR, NY 12054
Albany County (518) 475-7822

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Kroopnick's NPI number?

The NPI number for Kenneth Kroopnick is 1053303974. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Kenneth Kroopnick located?

Kenneth Kroopnick practices at 4 Normanskill Blvd, Delmar, NY 12054. The listed phone number is (518) 478-9423.

What is Kenneth Kroopnick's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kenneth Kroopnick enrolled in Medicare?

Yes. Kenneth Kroopnick is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kenneth Kroopnick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Kroopnick reassigns Medicare benefits to 2 organizations: St. Peter's Health Partners Medical Associates, P.C. (Albany, NY) and Whitney M. Young, Jr. Health Center, Inc. (Albany, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Kroopnick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kenneth Kroopnick was last updated on August 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.