NPIMap

Individual provider Active NPI

Mark Krakauer, M.D.

  • Ophthalmology Physician
  • Allentown, PA
National Provider Identifier
1063655181
Registry record updated Oct 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD451379 Issued in PA
Practice address
1739 W Fairmont St
Allentown, PA 18104-3117
Phone
(610) 437-4988
Fax
(610) 437-4988
NPI assigned
Apr 20, 2009
Last updated
Oct 15, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X MD451379 PA Primary

Addresses

Primary practice location

1739 W Fairmont St
Allentown, PA 18104-3117

Mailing address

1739 W Fairmont St
Allentown, PA 18104-3117
Phone (610) 437-4988

Other identifiers 1

IdentifierTypeStateIssuer
1029425580002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140701001105 PA Practitioner - OphthalmologyPractitioner - Plastic and Reconstructive Surgery 8022269240 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Plastic and Reconstructive Surgery
Education
Icahn School of Medicine at Mount Sinai, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Center for Sight PCGroup PAC ID 8123002938, 7 clinicians
Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians

Practice addresses (Care Compare)

1739 W Fairmont St
Allentown, PA 18104-3117
Phone (610) 437-4988

3401 N Broad St
Philadelphia, PA 19140-5103
Phone (215) 707-5030

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.21 of 100Reported as group
Quality
49.71
Promoting interoperability
100
Improvement activities
40
Cost
74.23

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
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

State licenses

LicenseStateTypeSpecialty
MD451379PAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Faculty Practice Plan Inc CurrentSince Mar 10, 2019 Accepting new patients
Temple Faculty Practice Plan, Inc CurrentSince Mar 10, 2019 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Lehigh Valley Center for Sight PC CurrentSince Jul 23, 2014 Accepting new patients
Temple Faculty Practice Plan Inc Past Accepting new patients
Temple University of the Commonwealth System of Higher Education Past Accepting new patients
Oculofacial Plastic and Orbital Surgery, LLC PastSince Oct 15, 2006 Accepting new patients

Locations

1739 W Fairmont St
Allentown, PA 18104
Phone (215) 437-4988

250 Cetronia Rd
Ste 300
Allentown, PA 18104
Phone (484) 223-2880

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

7500 Central Ave
Philadelphia, PA 19111
Phone (215) 214-4100

Interoperability endpoints

  • Direct secure messaging: mkrakauer@lvcenterforsight.intellechartdirect.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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1063655181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 W FAIRMONT ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181043117",
            "telephone_number": "610-437-4988",
            "fax_number": "610-437-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 W FAIRMONT ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181043117",
            "telephone_number": "610-437-4988",
            "fax_number": "610-437-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAKAUER",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-20",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD451379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029425580002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.