Individual provider Active NPI

Susan Falzone Kraus, MD

  • Family Medicine Physician
  • Hughson, CA
National Provider Identifier
1194708412
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A83754 Issued in CA
Practice address
2412 3Rd St
Hughson, CA 95326-9310
Phone
(209) 558-7250
Fax
(209) 558-6033
NPI assigned
Nov 21, 2005
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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 A83754 CA Primary

Addresses

Primary practice location

2412 3Rd St
Hughson, CA 95326-9310

Mailing address

PO Box 249
Hughson, CA 95326-0249
Phone (209) 355-8725

Other identifiers 1

IdentifierTypeStateIssuer
121238OtherCABOARD CERT #

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
I20040220000841 CA Practitioner - Family Practice 0446145072 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Florida College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Livingston Community HealthGroup PAC ID 8820084692, 21 clinicians
Golden Valley Health CentersGroup PAC ID 4183527187, 114 clinicians

Practice addresses (Care Compare)

2412 3Rd St
Suite B
Hughson, CA 95326-9310
Phone (209) 850-3500

401 Paradise Rd
Suite E101
Modesto, CA 95351-3171
Phone (209) 722-4842

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Health Centers CurrentSince Jul 17, 2024 Accepting new patients
Golden Valley Health Centers Current Accepting new patients
Lumira Healthcare CurrentSince Mar 2, 2020 Accepting new patients
Golden Valley Health Center CurrentSince Jul 17, 2024 Accepting new patients
Lumira Healthcare CurrentSince Mar 2, 2020 Accepting new patients
Lumira Healthcare PastSince Aug 1, 2020 Accepting new patients
County of Stanislaus PastSince Jul 24, 2022 Accepting new patients
Lumira Healthcare Past Accepting new patients

Locations

1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111

13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900

1140 Main St
Livingston, CA 95334
Phone (209) 394-7913

600 B St
Ste B
Livingston, CA 95334
Phone (209) 850-3500

821 Texas Ave
Los Banos, CA 93635
Phone (209) 385-5481

250 Northgate Dr
Manteca, CA 95336
Phone (209) 381-7120

3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104

797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871

847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441

1114 6th St
Modesto, CA 95354
Phone (209) 576-2845

1121 Hammond St
Modesto, CA 95351
Phone (209) 384-6488

1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071

2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 527-0080

401 Paradise Rd
Ste E101
Modesto, CA 95351

401 Paradise Rd
Ste E102
Modesto, CA 95351
Phone (209) 558-4000

637 Merced St
Newman, CA 95360
Phone (209) 862-0270

1010 W Las Palmas Ave
Ste E
Patterson, CA 95363
Phone (209) 394-7913

200 C St
Patterson, CA 95363
Phone (209) 892-6307

9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253

4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 628-4435

1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: susan.kraus.p3@direct.livingstoncommunity.nextgenshare.com

Organizations & group practices 9

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1194708412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "HUGHSON",
            "state": "CA",
            "postal_code": "953260249",
            "telephone_number": "209-355-8725",
            "fax_number": "209-558-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 3RD ST",
            "city": "HUGHSON",
            "state": "CA",
            "postal_code": "953269310",
            "telephone_number": "209-558-7250",
            "fax_number": "209-558-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUS",
        "first_name": "SUSAN",
        "middle_name": "FALZONE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A83754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERT #",
            "identifier": "121238",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hughson, CA

Sources for this page

Verify at the official NPI Registry.