Jacob Adam Krajicek, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

390200000X Issued in OK

Practice address

744 W 9TH St
Tulsa, OK 74127-9020

Phone

(918) 599-5373

NPI assigned

Mar 31, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Emergency Medicine

Education

Oklahoma State University College of Osteopathic Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Physician Staffing 2 PLLCGroup PAC ID 3375886476, 13 clinicians

Farmers Union Hospital AssociationGroup PAC ID 7517949415, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Great Plains Regional Medical Center Hospital, Elk City, OK, CCN 370019
• McAlester Regional Health Center Hospital, McAlester, OK, CCN 370034

Merit-based Incentive Payment System (MIPS)

Final score

90.91 of 100Reported as apm

Quality

76.55

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Farmers Union Hospital Association

  • General Acute Care Hospital
  • Elk City, OK
  • NPI 1184639122
  Medicare reassignment Care Compare group NPD
• Prime Physician Staffing 3 LLC

  • Hospitalist Physician
  • Bartlesville, OK
  • NPI 1831840958
  Medicare reassignment NPD Authorized official
• Premier Physician Staffing 2 PLLC

  • Emergency Medicine Physician
  • McAlester, OK
  • NPI 1326509407
  Medicare reassignment Care Compare group
• South Central Emergency Services PC

  • Emergency Medicine Physician
  • Stillwater, OK
  • NPI 1558663724
  Medicare reassignment NPD
• Prime Physician Staffing PLLC

  • Hospitalist Physician
  • Elk City, OK
  • NPI 1275017766
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Farmers Union Hospital Association

  • Rural Health Clinic/Center
  • Elk City, OK
  • NPI 1023512308

  Hospital

  Care Compare affiliation
• Farmers Union Hospital Association

  • Rural Health Clinic/Center
  • Elk City, OK
  • NPI 1114421492

  Hospital

  Care Compare affiliation
• Farmers Union Hospital Association

  • General Acute Care Hospital
  • Elk City, OK
  • NPI 1184639122
  Care Compare affiliation
• McAlester Regional Health Center Authority

  • Rural Acute Care Hospital
  • McAlester, OK
  • NPI 1316940034
  Care Compare affiliation

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301529600000",
    "number": "1154610046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8509 N 102ND EAST AVE",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740552356",
            "telephone_number": "918-576-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 W 9TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741279020",
            "telephone_number": "918-599-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAJICEK",
        "first_name": "JACOB",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "390200000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Price Kraft, M.D
• Kaitlyn Dawn Kraft
• Melanie Susan Kraft, MD
• Sean Mark Krahenbuhl, D.O.
• Tricia L Kraiss
• Cynthia Ann Kramer Wolf, M.E., LPC-S, RPT-S
• Autumn Grace Kramer, LCSW
• Hannah Kramer
• Kim Kramer
• Edgar Julian Kranau, PH D

• Emergency Medicine Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Emergency Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.