Individual provider Active NPI

David M Kraklau, M.D.

  • Urology Physician
  • Saint Joseph, MI
National Provider Identifier
1033546122
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
4301064003 Issued in MI
Practice address
815 Saint Joseph Dr
Saint Joseph, MI 49085-2529
Phone
(269) 983-3455
Fax
(269) 983-3455
NPI assigned
Oct 3, 2013
Last updated
Aug 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 4301064003 MI Primary

Addresses

Primary practice location

815 Saint Joseph Dr
Saint Joseph, MI 49085-2529

Mailing address

218 S Sunnybank Rd
Saint Joseph, MI 49085-1855
Phone (269) 983-3455

Other practice location 1

1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone (269) 983-3455

Other practice location 2

42 N Saint Joseph Ave Ste 200
Niles, MI 49120-2203
Phone (269) 684-5447

Other identifiers 1

IdentifierTypeStateIssuer
1033546122MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131126000375 MI Practitioner - Urology 5890921613 Reassigns benefits to 1 organization
I20240829000380 IN Practitioner - Urology 5890921613 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Porte Clinic Company LLCGroup PAC ID 0446558357, 66 clinicians
Chesterton Physical Therapy IncGroup PAC ID 3173683984, 191 clinicians
Porter Physician Services LLCGroup PAC ID 1850482407, 96 clinicians

Practice addresses (Care Compare)

402 W Culver Rd
Knox, IN 46534-2200
Phone (574) 772-7918

425 Sand Creek Dr
Chesterton, IN 46304-1589

85 E US Hwy 6
Valparaiso, IN 46383-8947
Phone (219) 983-6380

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301064003MIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
La Porte Clinic Company LLC CurrentSince Sep 8, 2024 Accepting new patients
Porter Physician Services LLC Urology CurrentSince Sep 8, 2024 Accepting new patients
Lakeland Medical Practices CurrentSince Nov 1, 2013 Accepting new patients
Lakeland Medical Practices CurrentSince Nov 1, 2013 Accepting new patients
La Porte Clinic Company LLC CurrentSince Sep 8, 2024 Accepting new patients
Northwest Indiana Nephrology PC Past Accepting new patients

Locations

650 Dickinson Rd
Ste Z
Chesterton, IN 46304
Phone (219) 464-9507

104 E Culver Rd
Ste 105
Knox, IN 46534
Phone (574) 772-7300

402 W Culver Rd
Knox, IN 46534
Phone (219) 772-7918

1331 State St
Ste 340
La Porte, IN 46350
Phone (219) 324-0875

1331 State St
Laporte, IN 46350
Phone (219) 326-2415

3777 N Frontage Rd
Ste 300
Michigan City, IN 46360
Phone (219) 379-3166

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

42 N Saint Joseph Ave
Ste 100
Niles, MI 49120
Phone (269) 684-6696

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

815 Saint Joseph Dr
Saint Joseph, MI 49085
Phone (269) 982-4272

Interoperability endpoints

  • Direct secure messaging: dkraklau17200@lakeland.midirect.net

Organizations & group practices 7

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

Hospital & facility affiliations 6

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": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1033546122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 S SUNNYBANK RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851855",
            "telephone_number": "269-983-3455",
            "fax_number": "269-983-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 SAINT JOSEPH DR",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852529",
            "telephone_number": "269-983-3455",
            "fax_number": "269-983-3455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1234 Napier Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MI",
            "postal_code": "490852112",
            "country_code": "US",
            "telephone_number": "269-983-3455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "42 N Saint Joseph Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Niles",
            "state": "MI",
            "postal_code": "491202203",
            "country_code": "US",
            "telephone_number": "269-684-5447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAKLAU",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-03",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "4301064003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033546122",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

Verify at the official NPI Registry.