Active NPIIndividual provider

Dr. Kristina R Kratovil, MD

Internal Medicine, Bariatric Medicine in Vienna, Virginia

NPI Number1093881567
Practice location
8300 Boone Blvd Ste 500, Vienna, VA 22182-2681
Fax
617-928-8401
Last updated
September 11, 2026

Kristina Rea Black Kratovil is an Internal Medicine, Bariatric Medicine based in Vienna, VA. Kristina Rea Black Kratovil practices in Vienna, VA and has the professional credentials of MD. The NPI Number for Kristina Rea Black Kratovil is 1093881567 and holds a License No. 0101240416 (VA). The current practice location address for Kristina Rea Black Kratovil is 8300 Boone Blvd Ste 500, Vienna, VA 22182-2681 and can be reached out via phone at 617-505-1520 and via fax at 617-928-8401.

Provider Profile Details

NPI Number
1093881567
Provider Name
Kristina Rea Black Kratovil
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
8300 Boone Blvd Ste 500, Vienna, VA 22182-2681
Phone Number
617-505-1520
Fax Number
617-928-8401
Primary Taxonomy
Internal Medicine, Bariatric Medicine · 207RB0002X
Sole Proprietor
No
Other Names
Dr. Kristina Rea Black, MD (Former Name)
Provider Enumeration Date
November 28, 2006
Last Update Date
September 11, 2026
Certification Date
September 11, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
8300 Boone Blvd Ste 500
Vienna, VA 22182-2681
City
Vienna
Zip
22182-2681
Phone Number
617-505-1520
Fax Number
617-928-8401
Vienna, VA 22182Get directions →

Provider Business Mailing Address Details

Address
109 State St Ste 5
Boston, MA 02109-2906
City
Boston
State
MA
Zip
02109-2906
Phone Number
617-505-1520
Fax Number
617-928-8401

License Information

License Number (1)
0101240416
License State (1)
VA
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
2025-01557
License State (2)
NC
Taxonomy (2)
Internal Medicine · 207R00000X
License Number (3)
0101240416
License State (3)
VA
Taxonomy (3)
Internal Medicine, Bariatric Medicine · 207RB0002X · Primary
License Number (4)
01081902A
License State (4)
IN
Taxonomy (4)
Internal Medicine · 207R00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Kristina R Kratovil, MD?

The NPI number of Dr. Kristina R Kratovil, MD is 1093881567. It was assigned on November 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Kristina R Kratovil, MD?

Dr. Kristina R Kratovil, MD is registered under the primary taxonomy Internal Medicine, Bariatric Medicine (code 207RB0002X), licensed in VA under license number 0101240416.

Where does Dr. Kristina R Kratovil, MD practice?

The practice location is 8300 Boone Blvd Ste 500, Vienna, VA 22182-2681. The office can be reached at 617-505-1520 (phone) or 617-928-8401 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093881567 directly on the NPPES registry website.

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