Individual provider Active NPI

Richard D Krause, D.P.M.

  • Podiatrist
  • Great Bend, KS
National Provider Identifier
1144225749
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
12-00159 Issued in KS
Practice address
3109 12TH St
Great Bend, KS 67530-4206
Phone
(620) 793-6592
Fax
(620) 793-5833
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 12-00159 KS Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 12-00159 KS

Addresses

Primary practice location

3109 12TH St
Great Bend, KS 67530-4206

Mailing address

3109 12TH St
Great Bend, KS 67530-4206
Phone (620) 793-6592

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060816000550 KS Practitioner - Podiatry 2062415847 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12-00159KSMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard D. Krause, DPM, PA Podiatrist CurrentSince Apr 1, 2006 Accepting new patients

Locations

3109 12th St
Great Bend, KS 67530
Phone (620) 793-6592

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1144225749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 12TH ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675304206",
            "telephone_number": "620-793-6592",
            "fax_number": "620-793-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 12TH ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675304206",
            "telephone_number": "620-793-6592",
            "fax_number": "620-793-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUSE",
        "first_name": "RICHARD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KS",
            "license": "12-00159",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KS",
            "license": "12-00159",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Bend, KS

Sources for this page

Verify at the official NPI Registry.