- Practice location
- 8300 Boone Blvd Ste 500, Vienna, VA 22182-2681
- Phone
- 617-505-1520
- 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
- State
- Virginia
- Zip
- 22182-2681
- Phone Number
- 617-505-1520
- Fax Number
- 617-928-8401
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine, Bariatric Medicine providers near Vienna, VA
View all Internal Medicine, Bariatric Medicine providers in Vienna →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.