Gregory A Konrath, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

01049739A Issued in IN

Practice address

285 W 12TH St
Ste 106
Peru, IN 46970-1653

Phone

(765) 472-8041

Fax

(765) 475-8956

NPI assigned

Mar 14, 2006

Sex

Male

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1013986926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 W 12TH ST",
            "address_2": "STE 106",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469701653",
            "telephone_number": "765-472-8041",
            "fax_number": "765-475-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 W 12TH ST",
            "address_2": "STE 106",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469701653",
            "telephone_number": "765-472-8041",
            "fax_number": "765-475-8956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONRATH",
        "first_name": "GREGORY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01049739A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200343390A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200212630",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eamonn M Keane, MD
• Richard L Keller II, MD
• Stephen D Kennedy, MD
• Agnes Kenny, MD
• Christa Nicole Kern, M.A., CCC-SLP
• Kroger Limited Partnership I (Kroger Pharmacy)
• Carmen Kuhn, OTR
• Dugan Thomas Labarge, DDS
• Ladd Dental Group of Peru, P.C.
• Ladd Dental of Bunker Hill P.C.

• Orthopaedic Surgery Physician in Peru, IN
• Providers in Peru, IN by specialty
• Orthopaedic Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.