Individual provider Active NPI

Baruch Shlomo Krauss, MD, EDM

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Boston, MA
National Provider Identifier
1003865270
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
License
57132 Issued in MA
Practice address
300 Longwood Ave
Division of Emergency Medicine, Children'S Hospital
Boston, MA 02115-4519
Phone
(617) 355-4049
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 57132 MA
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 57132 MA Primary

Addresses

Primary practice location

300 Longwood Ave
Division of Emergency Medicine, Children'S Hospital
Boston, MA 02115-4519

Mailing address

300 Longwood Ave
Division of Emergency Medicine, Children'S Hospital
Boston, MA 02115-4519
Phone (617) 355-4049

Other identifiers 1

IdentifierTypeStateIssuer
3045230MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040708000152 MA Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 5799763769 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
57132MAMDPediatric Emergency Medicine (Pediatrics) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Pediatric Associates, Inc Pediatrics CurrentSince May 17, 2015 Accepting new patients

Locations

85 Herrick St
Beverly, MA 01915
Phone (978) 816-3700

300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956

Interoperability endpoints

  • Direct secure messaging: bkrauss21987@direct.bostonchildrens.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187222400000",
    "number": "1003865270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE",
            "address_2": "DIVISION OF EMERGENCY MEDICINE, CHILDREN'S HOSPITAL",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021154519",
            "telephone_number": "617-355-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE",
            "address_2": "DIVISION OF EMERGENCY MEDICINE, CHILDREN'S HOSPITAL",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021154519",
            "telephone_number": "617-355-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUSS",
        "first_name": "BARUCH",
        "middle_name": "SHLOMO",
        "name_prefix": "Dr.",
        "credential": "MD, EDM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2007-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "57132",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "MA",
            "license": "57132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3045230",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.