Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Thomas Christopher Kriklava, PA-S

Individual provider Physician Assistant · NPI 1790417442

Thomas Christopher Kriklava, PA-S is a Physician Assistant in Edgewood, Kentucky. Qualified in 2023, 3 years ago. Practices with Summit Medical Group Inc, a 799-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
3
Licensed in
KY
In the registry since
2022
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Practice location Address checks out

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone: (859) 578-5880
Fax: (859) 578-5881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence TC102 (KY)

Record details

NPI number1790417442
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-S
Sole proprietorNo
NPI enumeratedJune 29, 2022
Last updated in NPPESJanuary 18, 2024
Certification dateJanuary 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Summit Medical Group Inc — 799 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Edgewood