INNOKENTIY KRUPNOV MD
NPI 1336601343
Surgery - Surgical Critical Care in Jacksonville, FL
NPI Status: Active since April 01, 2019
Contact Information
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 702-1276
- Individual
- Male
- Surgery
- Surgical Critical Care
- PECOS Enrolled
About INNOKENTIY KRUPNOV
This page provides the complete NPI Profile along with additional information for Innokentiy Krupnov, a provider established in Jacksonville, Florida with a medical specialization in Surgery, focusing in surgical critical care . The healthcare provider is registered in the NPI registry with number 1336601343 assigned on April 2019. The practitioner's primary taxonomy code is 2086S0102X with license number ME175640 (FL). The provider is registered as an individual and his NPI record was last updated August 2025.
- NPI
- 1336601343
- Provider Name
- INNOKENTIY KRUPNOV MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3625 UNIVERSITY BLVD S JACKSONVILLE, FL 32216
- Location Phone
- (904) 702-1276
- Mailing Address
- 3625 UNIVERSITY BLVD S JACKSONVILLE, FL 32216
- Mailing Phone
- (904) 702-1276
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-01-2019
- Last Update Date
- 08-21-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Surgical Critical Care
- Taxonomy Code
- 2086S0102X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME175640
- License State
- FL
- Taxonomy Description
- 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.
Medicare Participation & PECOS Enrollment Status
Innokentiy Krupnov is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for INNOKENTIY KRUPNOV MD
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 6 | 0 | 1 | 3 | 4 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 12 | 0 | 2 | 3 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 1 + 2 + 0 + 2 + 3 + 8 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1336601343 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1588664395 | KAREN ELIZABETH ANDERSON M.D. Individual | Anesthesiology | 3625 UNIVERSITY BLVD S JACKSONVILLE, FL 32216 (904) 387-4630 |
| 1255331963 | DAVID ARTHUR BAXENDALE D.O. Individual | Anesthesiology | 3625 UNIVERSITY BLVD S JACKSONVILLE, FL 32216 (904) 387-0006 |
| 1346240066 | ANESTHESIA CONSULTANTS PA Organization | Anesthesiology | 3625 UNIVERSITY BLVD S JACKSONVILLE, FL 32216 (904) 387-0006 |
| 1710979562 | DOUGLAS MICHAEL CASTELLANO MD Individual | Anesthesiology | 3625 UNIVERSITY BLVD S JACKSONVILLE, FL 32216 (904) 421-2119 |
| 1982696738 | DIANE WONJIN CHUNG MD Individual | Anesthesiology | 3625 UNIVERSITY BLVD S JACKSONVILLE, FL 32216 (904) 421-2119 |
| 1689666422 | JAMES C BOMAN MD Individual | Anesthesiology | 3625 UNIVERSITY BLVD S JACKSONVILLE, FL 32216 (904) 421-2119 |
| 1366434128 | EDWARD ALLEN MAYBURY MD Individual | Anesthesiology | 3625 UNIVERSITY BLVD S JACKSONVILLE, FL 32216 (904) 421-2119 |
| 1194717793 | STUART KENNETH BERGMAN MD Individual | Anesthesiology | 3625 UNIVERSITY BLVD S JACKSONVILLE, FL 32216 (904) 421-2119 |
| 1821080425 | PATRICIA JEAN BURNS DO Individual | Anesthesiology | 3625 UNIVERSITY BLVD S JACKSONVILLE, FL 32216 (904) 421-2119 |
| 1801888409 | ROBERT MICHAEL CARLSON MD Individual | Anesthesiology | 3625 UNIVERSITY BLVD S JACKSONVILLE, FL 32216 (904) 421-2119 |
| 1043202666 | DENNIS EDWIN MCCARTHY MD Individual | Anesthesiology | 3625 UNIVERSITY BLVD S JACKSONVILLE, FL 32216 (904) 421-2119 |
| 1811981582 | RAUL RAMON ORTA MD Individual | Anesthesiology | 3625 UNIVERSITY BLVD S JACKSONVILLE, FL 32216 (904) 421-2119 |
| 1063406742 | CARLA MAUREEN VINCENT MD Individual | Anesthesiology | 3625 UNIVERSITY BLVD S JACKSONVILLE, FL 32216 (904) 421-2119 |
| 1760476436 | CARMENCITA O ONG MD Individual | Anesthesiology | 3625 UNIVERSITY BLVD S JACKSONVILLE, FL 32216 (904) 421-2119 |
| 1376537852 | MARK C MONROE MD Individual | Anesthesiology | 3625 UNIVERSITY BLVD S JACKSONVILLE, FL 32216 (904) 421-2119 |
| 1487648994 | RICHARD WILLIAM STEWART JR. MD Individual | Anesthesiology | 3625 UNIVERSITY BLVD S JACKSONVILLE, FL 32216 (904) 421-2119 |
| 1831184845 | JACKSONVILLE EMERGENCY CONSULTANTS Organization | Emergency Medicine | 3625 UNIVERSITY BLVD S JACKSONVILLE, FL 32216 (904) 399-6811 |
| 1437134756 | QIHENG SHEN MD Individual | Anesthesiology | 3625 UNIVERSITY BLVD S JACKSONVILLE, FL 32216 (904) 421-2119 |
| 1699753459 | DR. MICHAEL EUWEMA MD Individual | Emergency Medicine | 3625 UNIVERSITY BLVD S EMERGENCY DEPARTMENT JACKSONVILLE, FL 32216 (904) 346-3606 |
| 1952389538 | DR. MARK BRODEUR MD Individual | Emergency Medicine (Emergency Medical Services) | 3625 UNIVERSITY BLVD S EMERGENCY DEPT JACKSONVILLE, FL 32216 (904) 346-3606 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336601343, enumerated in the NPI registry as an "individual" on April 01, 2019
The provider is located at 3625 University Blvd S Jacksonville, Fl 32216 and the phone number is (904) 702-1276
The provider's speciality is Surgery with taxonomy code 2086S0102X with a focus in Surgical Critical Care
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on April 01, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.