Maria Krach, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

37000910 Issued in IN

Practice address

2515 Mill Pond CT.
Fort Wayne, IN 46804

Phone

(260) 436-1312

Fax

(260) 436-1312

NPI assigned

Mar 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• First Care Family Physicians, PC

  • Family Medicine Physician
  • Fort Wayne, IN
  • NPI 1659372274
  NPD (past)

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304553600000",
    "number": "1013976950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 MILL POND CT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468047757",
            "telephone_number": "260-436-1312",
            "fax_number": "260-436-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 MILL POND CT.",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46804",
            "telephone_number": "260-436-1312",
            "fax_number": "260-436-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRACH",
        "first_name": "MARIA",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2011-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "37000910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000355285",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Kountouris, PHARM.D.
• Shaheed Koury, MD
• Timothy B Kowaleski, DO
• Daniel Edward Krach, MD
• Emily Krach, DO
• Anne Schroeder Krafsig, MD
• William Krafsig
• Teri Marisa Krakovich, PH.D.
• Dimitar Lubomirov Krastev, MD
• Noelle Krawiec

• Registered Dietitian in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Registered Dietitian in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.