Jeffery Marc Krakower, MD

Primary specialty

Hematology (Internal Medicine) PhysicianTaxonomy code 207RH0000X

License

G30387 Issued in CA

Practice address

5505 Sur Mer Drive
El Dorado Hills, CA 95762-7654

Phone

(650) 248-1159

Fax

(916) 932-4289

NPI assigned

Aug 24, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1144213190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 SUR MER DRIVE",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957627654",
            "telephone_number": "650-248-1159",
            "fax_number": "916-932-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 SUR MER DRIVE",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957627654",
            "telephone_number": "650-248-1159",
            "fax_number": "916-932-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAKOWER",
        "first_name": "JEFFERY",
        "middle_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "CA",
            "license": "G30387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00G303870",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "00G303870",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "00G303870",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G303870",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neha Kothari, DPT
• Janet Taylor Kowalchick, MPT
• Kenneth Stan Kowaleski, D.C.
• Hannah Kozlowski
• Amy Kraft
• Kristine Kristoff
• Kayla Krolikowski
• Heather Kuhl, RBT-16-14062
• Kulwant Singh MD Inc
• Upasana Kumar, DMD

• Hematology (Internal Medicine) Physician in El Dorado Hills, CA
• Providers in El Dorado Hills, CA by specialty
• Hematology (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.