EDWARD D KRESKE (MD) – Surgery Physician, NPI 1982644639

EDWARD D KRESKE (MD) is a healthcare provider. based in Ypsilanti, Michigan. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 4301065380 (MI). The NPI Number for EDWARD D KRESKE (MD) is 1982644639

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD D KRESKE (MD)
NPI
1982644639
Phone
(734) 712-8150
Address
5325 ELLIOTT DR
Enumeration Date
8 June 2006
Last Update Date
19 September 2012

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
7347128700
Graduation Year
1995 (31 years ago)
PAC ID
4486646379
Group Practice PAC ID
2466351440
Professional Enrollment ID
I20040331001320
Address ID
MI483415009PO44428AVEX312
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,444 GENERAL SURGERY in MI

Provider Addresses for EDWARD D KRESKE (MD)

  • 5325 ELLIOTT DR

    SUITE 104

    YPSILANTI, MI 481978633

    Phone: (734) 712-8150

    Fax: (734) 712-8151

    Mailing address matches the actual address.

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: 2004-03-31

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
I20040331001320IGeneral SurgeryMITBD

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
99203New patient office or other outpatient visit, 30-44 minutes5151$0
99214Established patient office or other outpatient visit, 30-39 minutes3431$0
99205New patient office or other outpatient visit, 60-74 minutes1313$0
47562Removal of gallbladder using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 48197)

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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: 2466351440View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineMI
Interventional RadiologyMI
Cardiovascular Disease (Cardiology)MI
Physician AssistantMI
Physician AssistantMI
-MI
-MI
Internal Medicine, Geriatric MedicineMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Hospitalist, Internal MedicineMI

Reviews

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Frequently asked questions

Can I use this page to confirm EDWARD D KRESKE (MD)'s NPI?
Yes. EDWARD D KRESKE (MD) is listed with NPI 1982644639 in the public NPI dataset.
Is EDWARD D KRESKE (MD) still practicing?
EDWARD D KRESKE (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes EDWARD D KRESKE (MD)?
For research purposes, treat EDWARD D KRESKE (MD) as Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect EDWARD D KRESKE (MD) on a map?
Expect Ypsilanti, Michigan as a primary anchor for EDWARD D KRESKE (MD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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