Active NPI
Gary Robert Kravitz, MD
- Infectious Disease Physician
- St Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 24327
- Practice address
- 1959 Sloan PL
Ste 200
St Paul, MN 55117-2074 - Phone
- (651) 772-6235
- Fax
- (651) 772-6261
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 24327 | MN | |
| Infectious Disease Physician | 207RI0200X | 24327 | MN | Primary |
Addresses
Primary practice location
1959 Sloan PL
Ste 200
St Paul, MN 55117-2074
Mailing address
1959 Sloan PL
Ste 200
St Paul, MN 55117-2074
Phone (651) 772-6235
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 899307600 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healtheast Medical Research Institute | Internal Medicine | Current | Accepting new patients |
| Allina Health System | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| St. Paul Infectious Disease Associates, LTD. | Infectious Disease | Current | Accepting new patients |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients |
Locations
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
400 Stinson Blvd
Minneapolis, MN 55413
Phone (612) 672-2258
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
1959 Sloan Pl
Ste 200
Saint Paul, MN 55117
Phone (651) 772-6235
1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002
1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Annandale, MN
- NPI 1457657249
-
- Clinic/Center
- Vadnais Heights, MN
- NPI 1639125503
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- Primary Care Clinic/Center
- North Branch, MN
- NPI 1306090568
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
-
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1508191552
-
- Infectious Disease Physician
- Saint Paul, MN
- NPI 1306996335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588636800000",
"number": "1124085840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1959 SLOAN PL",
"address_2": "STE 200",
"city": "ST PAUL",
"state": "MN",
"postal_code": "551172074",
"telephone_number": "651-772-6235",
"fax_number": "651-772-6261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 SLOAN PL",
"address_2": "STE 200",
"city": "ST PAUL",
"state": "MN",
"postal_code": "551172074",
"telephone_number": "651-772-6235",
"fax_number": "651-772-6261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAVITZ",
"first_name": "GARY",
"middle_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2020-05-05",
"certification_date": "2020-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "24327",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "MN",
"license": "24327",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "899307600",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.