Individual provider Active NPI

Peter Krause, MD

  • Family Medicine Physician
  • Santa Maria, CA
National Provider Identifier
1073534442
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C128885 Issued in CA
Practice address
2151 S College Dr Ste 203
Santa Maria, CA 93455-1305
Phone
(805) 623-5010
Fax
(805) 623-8365
NPI assigned
Jul 21, 2006
Last updated
Aug 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C128885 CA Primary

Addresses

Primary practice location

2151 S College Dr Ste 203
Santa Maria, CA 93455-1305

Mailing address

2151 S College Dr Ste 203
Santa Maria, CA 93455-1305
Phone (805) 623-5010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140903000078 CA Practitioner - Family Practice 9133195464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Wisconsin, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peter Alan Krause Medical CorporationGroup PAC ID 4688892698, 2 clinicians

Practice addresses (Care Compare)

2151 S College Dr
Suite 203
Santa Maria, CA 93455-1305
Phone (414) 510-7294

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
128885CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peter Alan Krause Medical Corporation Family Medicine CurrentSince Oct 1, 2014 Accepting new patients
Baptist Health Medical Group, Inc. Family Medicine Past Accepting new patients
University Physicians Group - Radiology Past Accepting new patients
Ascension All Saints Hospital, Inc Past Accepting new patients
Uofl Health-Louisville Inc Past Accepting new patients
Dignity Health Past Accepting new patients
Ollis Chiropractic, PSC Past Accepting new patients
Baptist Health Medical Group Inc Past Accepting new patients

Locations

2151 S College Dr
Ste 203
Santa Maria, CA 93455
Phone (805) 623-5010

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9491/brand/1/csg/1/fhir/r4
  • Direct secure messaging: peter.krause.1@9491.direct.athenahealth.com

Organizations & group practices 8

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 3

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1073534442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 S COLLEGE DR STE 203",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551305",
            "telephone_number": "805-623-5010",
            "fax_number": "805-623-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 S COLLEGE DR STE 203",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551305",
            "telephone_number": "805-623-5010",
            "fax_number": "805-623-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUSE",
        "first_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C128885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.