Active NPI
Anatole Krukas, MD
- Addiction Medicine (Internal Medicine) Physician
- Lake Worth, FL
National Provider Identifier
1043229941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- ME114799
- Practice address
- Central Florida Substance Abuse Treatment Center
3155 Lake Worth Rd
Lake Worth, FL 33461 - Phone
- (561) 439-8440
- NPI assigned
- Aug 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | ME114799 | FL | Primary |
Addresses
Primary practice location
Central Florida Substance Abuse Treatment Center
3155 Lake Worth Rd
Lake Worth, FL 33461
Mailing address
Central Florida Substance Abuse Treatment Center
3155 Lake Worth Rd
Lake Worth, FL 33461
Phone (561) 439-8440
Other practice location 1
1905 W Cedar St
El Dorado, AR 71730-6835
Phone (917) 304-4840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009917500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME114799 | FL | MD | Addiction Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group, Arkansas, PA | Past | Accepting new patients | |
| Hospitalist Medicine Physician of Broome County PLLC | Past | Accepting new patients | |
| South Arkansas Physician Services LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1295774610
-
- Internal Medicine Physician
- Binghamton, NY
- NPI 1639374580
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1427018704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537228800000",
"number": "1043229941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CENTRAL FLORIDA SUBSTANCE ABUSE TREATMENT CENTER",
"address_2": "3155 LAKE WORTH RD",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "33461",
"telephone_number": "561-439-8440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CENTRAL FLORIDA SUBSTANCE ABUSE TREATMENT CENTER",
"address_2": "3155 LAKE WORTH RD",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "33461",
"telephone_number": "561-439-8440"
}
],
"practiceLocations": [
{
"address_1": "1905 W Cedar St",
"address_purpose": "LOCATION",
"city": "El Dorado",
"state": "AR",
"postal_code": "717306835",
"country_code": "US",
"telephone_number": "917-304-4840",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRUKAS",
"first_name": "ANATOLE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2018-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "FL",
"license": "ME114799",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009917500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.