Daniel Robert Krauchuk, D.O.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

20A11543 Issued in CA

Practice address

9555 S Eastern Ave Ste 290
Las Vegas, NV 89123-8009

Phone

(702) 870-3722

Fax

(725) 777-1304

NPI assigned

Sep 8, 2010

Last updated

Dec 29, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, NV, FL3 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 3

Specialty

Physical Medicine and RehabilitationAlso: Pain Management

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centennial Medical Group LLPGroup PAC ID 6901807536, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: daniel.krauchuk@2498.securemail.prognocis.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Centennial Medical Group LLP

  • Interventional Pain Medicine Physician
  • Las Vegas, NV
  • NPI 1073619359
  Medicare reassignment Care Compare group NPD
• Vipmd

  • Interventional Cardiology Physician
  • Bakersfield, CA
  • NPI 1124521018
  Medicare reassignment NPD
• Kern Neurosurgical Institute, Inc

  • Neurological Surgery Physician
  • Bakersfield, CA
  • NPI 1659792158
  Medicare reassignment
• Centennial Medical Group LLP

  • Durable Medical Equipment & Medical Supplies
  • Las Vegas, NV
  • NPI 1013807361
  NPD
• Gem Physicians Medical Group Inc

  • Family Medicine Physician
  • Bakersfield, CA
  • NPI 1396985404
  NPD (past)

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1114234440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 BAYSIDE DR",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926251702",
            "telephone_number": "833-753-3435",
            "fax_number": "725-777-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 S EASTERN AVE STE 290",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891238009",
            "telephone_number": "702-870-3722",
            "fax_number": "725-777-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUCHUK",
        "first_name": "DANIEL",
        "middle_name": "ROBERT",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-08",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5101016276",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NV",
            "license": "2865",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "20A11543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Krantz, APRN
• Douglas J Krasniewski, MPT
• Bryce Krason, DO
• Irena Krass, A-GNP-C
• Razmig Garo Kratlian, MD
• Shane Winfield Kraus, PH.D.
• Jennifer Nicole Krause, M.S.
• Lisa Krause
• Maria Adela Krause
• Kyle Kravetz, MD

• Physical Medicine & Rehabilitation Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Medicine & Rehabilitation Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.