Individual provider Active NPI

Alfred P. Kraus Jr., M.D.

  • Specialist
  • Memphis, TN
National Provider Identifier
1093724338
Registry record updated Nov 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD10336 Issued in TN
Practice address
50 Humphreys Ctr Ste 28
Memphis, TN 38120-2368
Phone
(901) 747-3501
Fax
(901) 747-3516
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD10336 TN Primary

Addresses

Primary practice location

50 Humphreys Ctr Ste 28
Memphis, TN 38120-2368

Mailing address

50 Humphreys Ctr Ste 28
Memphis, TN 38120-2368
Phone (901) 747-3501

Other identifiers 2

IdentifierTypeStateIssuer
0016576OtherTNBLUE CROSS BLUE SHIELD
3189860MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20040228000263 TN Practitioner - Internal MedicinePractitioner - Nephrology 0345137014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD10336TNMDSpecialist
10336TNMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Interoperability endpoints

  • Direct secure messaging: alfred.kraus.1@20919.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194825600000",
    "number": "1093724338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 HUMPHREYS CTR STE 28",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202368",
            "telephone_number": "901-747-3501",
            "fax_number": "901-747-3516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HUMPHREYS CTR STE 28",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202368",
            "telephone_number": "901-747-3501",
            "fax_number": "901-747-3516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUS",
        "first_name": "ALFRED",
        "middle_name": "P.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD10336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0016576",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3189860",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.