Individual provider Active NPI

Kurt Destin Kraft, MD

  • Family Medicine Physician
  • Geneva, AL
National Provider Identifier
1124089115
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00018689 Issued in AL
Practice address
701 W Maple Ave
Geneva, AL 36340-1609
Phone
(334) 684-9208
Fax
(334) 684-1302
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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 00018689 AL Primary

Addresses

Primary practice location

701 W Maple Ave
Geneva, AL 36340-1609

Mailing address

701 W Maple Ave
Geneva, AL 36340-1609
Phone (334) 684-9208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20060411000455 AL Practitioner - Family Practice 9931118403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Alabama College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geneva Medical Group IncGroup PAC ID 1153340559, 2 clinicians

Practice addresses (Care Compare)

701 W Maple Ave
Geneva, AL 36340-1609
Phone (334) 684-9208

Hospital & facility affiliations

  • Wiregrass Medical Center Hospital, Geneva, AL, CCN 011309
  • Mizell Memorial Hospital Hospital, Opp, AL, CCN 010007
  • Flowers Hospital Hospital, Dothan, AL, CCN 010055
  • Florala Health and Rehabilitation LLC Nursing home, Florala, AL, CCN 015451
  • Wiregrass Medical Center Nursing home, CCN 01Z309

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as apm
Quality
75.95
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth12
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00018689ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geneva Medical Group, Inc. Family Medicine CurrentSince Feb 20, 2018 Accepting new patients
Geneva Emergency Room Doctors LLC Past Accepting new patients
Geneva County Healthcare Authority, Inc. Past Accepting new patients

Locations

701 W Maple Ave
Geneva, AL 36340
Phone (334) 684-9208

1200 W Maple Ave
Geneva, AL 36340
Phone (334) 684-3655

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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 4

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1124089115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W MAPLE AVE",
            "city": "GENEVA",
            "state": "AL",
            "postal_code": "363401609",
            "telephone_number": "334-684-9208",
            "fax_number": "334-684-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W MAPLE AVE",
            "city": "GENEVA",
            "state": "AL",
            "postal_code": "363401609",
            "telephone_number": "334-684-9208",
            "fax_number": "334-684-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAFT",
        "first_name": "KURT",
        "middle_name": "DESTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00018689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, AL

Sources for this page

Verify at the official NPI Registry.