NPIMap

Individual provider Active NPI

Paul G Krouse, DPM

  • Foot & Ankle Surgery Podiatrist
  • Latrobe, PA
National Provider Identifier
1003879149
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC003511L Issued in PA
Practice address
1201 Ligonier St
Latrobe, PA 15650-1921
Phone
(724) 539-3650
Fax
(724) 539-3433
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC003511L PA Primary

Addresses

Primary practice location

1201 Ligonier St
Latrobe, PA 15650-1921

Mailing address

PO Box 30
1201 Ligonier St
Latrobe, PA 15650-0030
Phone (724) 539-3650

Other identifiers 1

IdentifierTypeStateIssuer
001210790003MedicaidPA

Other names 1

  • Dr. Paul G Krouse Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080226000393 PA Practitioner - Podiatry 0648354969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1201 Ligonier St
Latrobe, PA 15650-1921
Phone (724) 539-3650

Hospital & facility affiliations

  • Excela Health Latrobe Hospital Hospital, Latrobe, PA, CCN 390219
  • Excela Health - Frick Hospital Hospital, Mount Pleasant, PA, CCN 390217
  • Select Specialty Hospital Laurel Highlands Inc Long-term care hospital, Latrobe, PA, CCN 392036

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC003511LPAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Paul G Krouse DPM PC Foot & Ankle Surgery CurrentSince May 4, 2007 Accepting new patients

Locations

685 Angela Dr
Greensburg, PA 15601
Phone (724) 837-6070

1201 Ligonier St
#30
Latrobe, PA 15650
Phone (724) 539-3650

1201 Ligonier St
Latrobe, PA 15650
Phone (724) 539-3650

Interoperability endpoints

  • Direct secure messaging: pkrouse@direct.excelahealth.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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1003879149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30",
            "address_2": "1201 LIGONIER ST",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156500030",
            "telephone_number": "724-539-3650",
            "fax_number": "724-539-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 LIGONIER ST",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501921",
            "telephone_number": "724-539-3650",
            "fax_number": "724-539-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROUSE",
        "first_name": "PAUL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC003511L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001210790003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "KROUSE",
            "middle_name": "G",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Latrobe, PA

Sources for this page

Verify at the official NPI Registry.