Individual provider Active NPI

Mark David Kraft, MD

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
National Provider Identifier
1215564539
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
6235 Issued in NV
Practice address
8861 W Sahara Ave Ste 220
Las Vegas, NV 89117-4805
Phone
(702) 581-7589
NPI assigned
Mar 25, 2020
Last updated
Mar 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 6235 NV Primary

Addresses

Primary practice location

8861 W Sahara Ave Ste 220
Las Vegas, NV 89117-4805

Mailing address

840 S Rancho Dr Ste 4
Las Vegas, NV 89106-3800
Phone (702) 581-7589

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220427002775 NV Practitioner - Pain ManagementPractitioner - Anesthesiology 5496142192 Reassigns benefits to 2 organizations
I20231030003112 AZ Practitioner - Anesthesiology 5496142192 Reassigns benefits to 1 organization
I20231226001028 CA Practitioner - Anesthesiology 5496142192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Texas Tech University Health Science Center School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kraft Center for Pain Control, LLCGroup PAC ID 3173501186, 2 clinicians

Practice addresses (Care Compare)

2650 Crimson Canyon Dr
Las Vegas, NV 89128-0841
Phone (702) 731-2642

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22525AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates of California, PC CurrentSince Nov 11, 2023 Accepting new patients
Kraft Center for Pain Control, LLC CurrentSince Apr 21, 2022 Accepting new patients
Signify Health, LLC CurrentSince Oct 1, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince May 1, 2023 Accepting new patients

Locations

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202

505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095

701 S Carson St
Ste 200
Carson City, NV 89701
Phone (617) 586-0958

2650 Crimson Canyon Dr
Las Vegas, NV 89128
Phone (702) 731-2642

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 600
Dallas, TX 75244

Organizations & group practices 4

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": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1215564539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 S RANCHO DR STE 4",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063800",
            "telephone_number": "702-581-7589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8861 W SAHARA AVE STE 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891174805",
            "telephone_number": "702-581-7589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAFT",
        "first_name": "MARK",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NV",
            "license": "6235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.