Individual provider Active NPI

Paul K Krause

  • Family Medicine Physician
  • Truckee, CA
National Provider Identifier
1184770653
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A66523 Issued in CA
Practice address
10115 W River St
Truckee, CA 96161-0324
Phone
(530) 581-8864
NPI assigned
Jan 26, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 A66523 CA Primary

Addresses

Primary practice location

10115 W River St
Truckee, CA 96161-0324

Mailing address

10115 W River St
Truckee, CA 96161-0324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20081009000113 CA Practitioner - Family Practice 9032157615 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tahoe Forest Hospital DistrictGroup PAC ID 0446161335, 140 clinicians

Practice addresses (Care Compare)

2104 N Village Dr
Suite L
Truckee, CA 96161-4312
Phone (530) 582-6594

925 N Lake Blvd
Suite 102B
Tahoe City, CA 96145-2307
Phone (530) 581-8864

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.06 of 100Reported as group
Quality
83.97
Promoting interoperability
88
Improvement activities
40
Cost
42.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A66523CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tahoe Forest Hospital District CurrentSince Aug 1, 2013 Accepting new patients
California Emergency Physicians Medical Group, a Professional Corp CurrentSince Nov 22, 2013 Accepting new patients
California Emergency Physicians Medical Group a Professional Corp CurrentSince Nov 22, 2013 Accepting new patients
Tahoe Forest Hospital District Current Accepting new patients
Tahoe Forest Hospital District CurrentSince Aug 1, 2013 Accepting new patients
Tahoe Forest Hospital District Past Accepting new patients
Truckee Tahoe Medical Group Family Medicine Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

1359 Pine St
#1112
San Francisco, CA 94109
Phone (415) 673-8405

10051 Lake Ave
Ste 3
Truckee, CA 96161
Phone (530) 587-7461

10956 Donner Pass Rd
Truckee, CA 96161
Phone (530) 581-8864

10956 Donner Pass Rd
Ste 110
Truckee, CA 96161
Phone (530) 581-8864

2104 N Village Dr
Ste L
Truckee, CA 96161
Phone (530) 582-6594

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184770653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10115 W RIVER ST",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961610324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10115 W RIVER ST",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961610324",
            "telephone_number": "530-581-8864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUSE",
        "first_name": "PAUL",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A66523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Truckee, CA

Sources for this page

Verify at the official NPI Registry.