INNOKENTIY KRUPNOV MD
NPI 1336601343
Surgery - Surgical Critical Care in Jacksonville, FL

Active since April 01, 2019PECOS EnrolledAccepts Medicare Assignment
3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216(904) 702-1276 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Innokentiy Krupnov Md NPPES

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

INNOKENTIY KRUPNOV MD (NPI 1336601343) is an individual surgical critical care provider in Jacksonville, Florida, licensed in Florida (ME175640) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1336601343
Entity TypeIndividualMale
Primary Taxonomy2086S0102X
Provider Legal NameINNOKENTIY KRUPNOVCredential: MD
Location Address3625 UNIVERSITY BLVD SJacksonville, FL 32216-4207
Mailing Address3625 University Blvd SJacksonville, FL 32216-4207 · (904) 702-1276
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 1, 2019
Last NPPES UpdateAugust 21, 2025
NPPES CertifiedAugust 21, 2025
NPI 1336601343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License Licensed in FL · ME175640
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
3625 UNIVERSITY BLVD S, Jacksonville, FL 32216

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Innokentiy Krupnov Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688020043
PECOS Enrollment IDI20250820001512
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mayo Clinic

Acute Care Hospitals · Jacksonville, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100151
Location4500 San Pablo RdJacksonville, FL 32224 · Duval County
Emergency services

Hca Florida Memorial Hospital

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100179
Location3625 University Blvd SJacksonville, FL 32216 · Duval County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

Nurse Anesthetist, Certified Registered
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Emergency Medicine
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Dietitian, Registered
3625 UNIVERSITY BLVD S, BARIATRIC DEPARTMENT
JACKSONVILLE, FL 32216
Anesthesiology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
General Practice
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Emergency Medicine
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Pharmacist
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Obstetrics & Gynecology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

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 Innokentiy Krupnov's NPI number?

The NPI number for Innokentiy Krupnov is 1336601343. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Innokentiy Krupnov located?

Innokentiy Krupnov practices at 3625 University Blvd S, Jacksonville, FL 32216. The listed phone number is (904) 702-1276.

What is Innokentiy Krupnov's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Innokentiy Krupnov enrolled in Medicare?

Yes. Innokentiy Krupnov is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Innokentiy Krupnov accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Innokentiy Krupnov as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Innokentiy Krupnov affiliated with any hospitals?

According to CMS data, Innokentiy Krupnov is affiliated with Mayo Clinic and Hca Florida Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Innokentiy Krupnov was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.