Individual provider Active NPI

Craig A Kraffert, M.D.

  • Specialist
  • Redding, CA
National Provider Identifier
1053300632
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G72464 Issued in CA
Practice address
2107 Airpark Dr
Redding, CA 96001-2433
Phone
(530) 241-1111
Fax
(530) 241-4870
NPI assigned
Oct 17, 2005
Last updated
Mar 20, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G72464 CA Primary

Addresses

Primary practice location

2107 Airpark Dr
Redding, CA 96001-2433

Mailing address

2107 Airpark Dr
Redding, CA 96001-2433
Phone (530) 241-1111

Other identifiers 1

IdentifierTypeStateIssuer
00G724641MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 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
I20060316000228 CA Practitioner - Dermatology 2365459369 Reassigns benefits to 1 organization
I20150824001550 OR Practitioner - Dermatology 2365459369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, Geffen School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Redding Dermatology Medical Group IncGroup PAC ID 2567549504, shared by 2 NPIs, 14 clinicians

Practice addresses (Care Compare)

1817 Concord Ave
Suite 100
Chico, CA 95928-9220
Phone (530) 767-3376

2107 Airpark Dr
Redding, CA 96001-2433
Phone (530) 241-1111

2924 Siskiyou Blvd
Suite 100
Medford, OR 97504-8194
Phone (530) 241-7098

525 2ND St
Suite 219
Eureka, CA 95501-0488
Phone (707) 444-1331

Merit-based Incentive Payment System (MIPS)

Final score
90.15 of 100Reported as group
Quality
96.26
Improvement activities
40
Cost
72.16

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision84
Removal of skin lesions3774
Removal of skin cancer79
Removal of nail tissue1-10
Removal or shaving of skin growth330
Skin biopsy224

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Redding Dermatology Medical Group, Inc. CurrentSince Nov 6, 2007 Accepting new patients
Redding Dermatology Medical Group, Inc. CurrentSince Nov 6, 2007 Accepting new patients
Dignity Health Past Accepting new patients

Locations

525 2nd St
Ste 203
Eureka, CA 95501
Phone (707) 444-1331

525 2nd St
Ste 219
Eureka, CA 95501
Phone (707) 444-0448

101 Old McCloud Rd
Mount Shasta, CA 96067
Phone (530) 926-5100

2107 Airpark Dr
Redding, CA 96001
Phone (530) 241-1111

2135 Airpark Dr
Ste A
Redding, CA 96001
Phone (530) 241-1111

2924 Siskiyou Blvd
Ste 100
Medford, OR 97504
Phone (530) 241-7098

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1053300632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 AIRPARK DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012433",
            "telephone_number": "530-241-1111",
            "fax_number": "530-241-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 AIRPARK DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012433",
            "telephone_number": "530-241-1111",
            "fax_number": "530-241-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAFFERT",
        "first_name": "CRAIG",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G72464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G724641",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.