PAUL DAVID KRETKOWSKI (MPAS, PA-C) – Physician Assistant, NPI 1215561006

PAUL DAVID KRETKOWSKI (MPAS, PA-C) is a healthcare provider. based in Iowa city, Iowa. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials MPAS, PA-C. They hold a License No. 57988 (CA). The NPI Number for PAUL DAVID KRETKOWSKI (MPAS, PA-C) is 1215561006

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
PAUL DAVID KRETKOWSKI (MPAS, PA-C)
NPI
1215561006
Phone
(818) 749-2420
Address
714 N JOHNSON ST
Enumeration Date
2 March 2020
Last Update Date
5 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4154327899
Graduation Year
2019 (7 years ago)
PAC ID
8123430444
Group Practice PAC ID
9436239878
Professional Enrollment ID
I20231005003712
Address ID
CA946115352OA3900XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,648 PHYSICIAN ASSISTANT in IA

Provider Addresses for PAUL DAVID KRETKOWSKI (MPAS, PA-C)

  • 714 N JOHNSON ST

    IOWA CITY, IA 522452014

    Phone: (818) 749-2420

    Type: Mailing

  • 3400 DATA DR

    RANCHO CORDOVA, CA 956707956

    Phone:

    Type: Mailing

  • 170 COLUMBUS AVE STE 110

    SAN FRANCISCO, CA 941335160

    Phone: (415) 965-8050

    Fax: (415) 965-7678

    Type: Location

  • 200 HAWKINS DR

    IOWA CITY, IA 522421009

    Phone: (319) 356-1956

    Type: Mailing

  • 201 S CLINTON ST STE 168

    IOWA CITY, IA 522404034

    Phone: (319) 384-0520

    Fax: (319) 384-0603

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231005003712IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes120118$0
99203New patient office or other outpatient visit, 30-44 minutes4747$0
81003Automated urinalysis test2019$0
99214Established patient office or other outpatient visit, 30-39 minutes1919$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen1919$0
View full utilization report →

Insurance plans in this area (ZIP 52245)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436239878View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YCA
Family PracticeCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Emergency MedicineCA
Physician AssistantMA
Physician AssistantVA
O B S T E T R I C S/ G Y N E C O L O G YCA
Family PracticeCA
O B S T E T R I C S/ G Y N E C O L O G YDC
Physician AssistantPA

Reviews

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Frequently asked questions

What number should I use to identify PAUL DAVID KRETKOWSKI (MPAS, PA-C) for billing?
Administrative and clinical systems typically use NPI 1215561006 for PAUL DAVID KRETKOWSKI (MPAS, PA-C).
Quick check: is PAUL DAVID KRETKOWSKI (MPAS, PA-C) active?
Public NPPES data shows PAUL DAVID KRETKOWSKI (MPAS, PA-C) with an active NPI status right now.
What does the directory say PAUL DAVID KRETKOWSKI (MPAS, PA-C) does?
Insurance directories may phrase it differently, but here PAUL DAVID KRETKOWSKI (MPAS, PA-C) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to PAUL DAVID KRETKOWSKI (MPAS, PA-C)?
PAUL DAVID KRETKOWSKI (MPAS, PA-C) is associated with Iowa City, Iowa in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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