NPIMap

Individual provider Active NPI

Stephanie Kakos Kraft, MD

  • Internal Medicine Physician
  • Parker, CO
National Provider Identifier
1104876721
Registry record updated Aug 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
42358 Issued in CO
Practice address
10371 Parkglenn Way
Ste 230
Parker, CO 80138-3885
Phone
(303) 269-2525
Fax
(303) 269-2520
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 42358 CO Primary

Addresses

Primary practice location

10371 Parkglenn Way
Ste 230
Parker, CO 80138-3885

Mailing address

10371 Parkglenn Way
Ste 230
Parker, CO 80138-3885
Phone (303) 269-2525

Other identifiers 1

IdentifierTypeStateIssuer
04021804MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20040810000822 CO Practitioner - Internal Medicine 4082686043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Indiana University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
Rocky Vista Health Center LLCGroup PAC ID 1052443710, 18 clinicians

Practice addresses (Care Compare)

10470 S Progress Way
Unit 104
Parker, CO 80134-4037
Phone (303) 617-4700

8401 S Chambers Rd
Englewood, CO 80112-3276
Phone (720) 875-2880

Hospital & facility affiliations

  • Accentcare Home Health of Mountain Valley LLC Home health agency, Denver, CO, CCN 067445
  • AdventHealth Parker Hospital, Parker, CO, CCN 060114

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42358COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Vista Health Center LLC CurrentSince Oct 25, 2023 Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

8401 S Chambers Rd
Greenwood Village, CO 80112
Phone (303) 373-2008

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8078/brand/1/csg/1/fhir/r4
  • Direct secure messaging: stephanie.kraft.1@8078.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 7

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1104876721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10371 PARKGLENN WAY",
            "address_2": "STE 230",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801383885",
            "telephone_number": "303-269-2525",
            "fax_number": "303-269-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10371 PARKGLENN WAY",
            "address_2": "STE 230",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801383885",
            "telephone_number": "303-269-2525",
            "fax_number": "303-269-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAFT",
        "first_name": "STEPHANIE",
        "middle_name": "KAKOS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "42358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04021804",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.