Active NPI
John J Kraus, MD
- Spinal Cord Injury Medicine Physician
- Malvern, PA
National Provider Identifier
1174545560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Spinal Cord Injury Medicine Physician
- License
- MD016760E
- Practice address
- 414 Paoli Pike
Malvern, PA 19355-3311 - Phone
- (610) 640-3935
- Fax
- (610) 251-5404
- NPI assigned
- Jul 24, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | MD016760E | PA | |
| Spinal Cord Injury Medicine Physician | 2081P0004X | MD016760E | PA | Primary |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | MD0167760E | PA |
Addresses
Primary practice location
414 Paoli Pike
Malvern, PA 19355-3311
Mailing address
414 Paoli Pike
Malvern, PA 19355-3311
Phone (610) 640-3935
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00305801 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0167760E | PA | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates of the Main Line, PC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Hospitalist Physician
- Malvern, PA
- NPI 1033276076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1174545560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 PAOLI PIKE",
"city": "MALVERN",
"state": "PA",
"postal_code": "193553311",
"telephone_number": "610-640-3935",
"fax_number": "610-251-5404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 PAOLI PIKE",
"city": "MALVERN",
"state": "PA",
"postal_code": "193553311",
"telephone_number": "610-640-3935",
"fax_number": "610-251-5404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAUS",
"first_name": "JOHN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "MD016760E",
"primary": false
},
{
"code": "2081P0004X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
"state": "PA",
"license": "MD016760E",
"primary": true
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "PA",
"license": "MD0167760E",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00305801",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Malvern, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.