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MICHAEL PETER KRUMHOLZ M.D.
NPI 1700886645
Internal Medicine - Gastroenterology in New York, NY

Active since July 21, 2005PECOS EnrolledAccepts Medicare Assignment
111 E 80TH ST, NEW YORK, NY 10021(212) 734-5533(212) 717-1688 Get Directions Write a Review

NPPES record last updated: August 23, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Michael Peter Krumholz M.d. NPPES

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

MICHAEL PETER KRUMHOLZ M.D. (NPI 1700886645) is an individual gastroenterology provider in New York, New York, licensed in New York (147236) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Icahn School Of Medicine At Mount Sinai (1980).

NPPES Registry Identity

NPI1700886645
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMICHAEL PETER KRUMHOLZCredential: M.D.
Location Address111 E 80TH STNew York, NY 10021-0334
Mailing Address111 E 80th StNew York, NY 10021-0334 · (212) 734-5533 · Fax (212) 717-1688
Phone(212) 734-5533
Fax(212) 717-1688
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1980
Enumeration DateJuly 21, 2005
Last NPPES UpdateAugust 23, 2007
✔ NPI 1700886645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 147236
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
111 E 80TH ST, New York, NY 10021
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINB17901NY
Medicare ID-Type Unspecified68D801NY
Medicaid00951813NY
Other68D801NY · Empire Bc/bs

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

Michael Peter Krumholz M.d. 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 ID1850462847
PECOS Enrollment IDI20100309000199
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
61 services61 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
55 services55 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
52 services51 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
46 services46 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services23 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 4

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

SUSAN WAYSEN WONG MD
Psychiatry & Neurology (Psychiatry)
111 E 80TH ST, 1D
NEW YORK, NY 10021
New York County (212) 879-6406
EAST SIDE GASTROENTEROLOGY, P.C.
Specialist
111 E 80TH ST, 1C
NEW YORK, NY 10021
New York County (212) 734-5533
ELLEN MARY ROONEY M.D.
Internal Medicine
111 E 80TH ST
NEW YORK, NY 10021
New York County (212) 734-5533
DR. NICOLE REGENT M.D.
Psychiatry & Neurology (Psychiatry)
111 E 80TH ST, LOBBY SUITE 1D
NEW YORK, NY 10021
New York County (212) 737-0709

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 Michael Krumholz's NPI number?

The NPI number for Michael Krumholz is 1700886645. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Where is Michael Krumholz located?

Michael Krumholz practices at 111 E 80th St, New York, NY 10021. The listed phone number is (212) 734-5533.

What is Michael Krumholz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Michael Krumholz enrolled in Medicare?

Yes. Michael Krumholz 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.

When was this NPI record last updated?

The NPPES record for Michael Krumholz was last updated on August 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.