Individual provider Active NPI

Mathew T Kraus, M.D.

  • Internal Medicine Physician
  • Jefferson City, TN
National Provider Identifier
1235178047
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
40967 Issued in TN
Practice address
1059 E Highway 11 E
Jefferson City, TN 37760-4910
Phone
(865) 375-6005
Fax
(865) 471-0244
NPI assigned
Jun 6, 2006
Last updated
Feb 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 40967 TN Primary
Pediatrics Physician 208000000X 40967 TN

Addresses

Primary practice location

1059 E Highway 11 E
Jefferson City, TN 37760-4910

Mailing address

1059 E Highway 11 E
Jefferson City, TN 37760-4910
Phone (865) 375-6005

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mathew.kraus.1@3525.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20061025000567 TN Practitioner - Internal MedicinePractitioner - Pediatric Medicine 7113963653 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Tennessee, HSC, College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthstar Physicians PCGroup PAC ID 5890690978, 89 clinicians

Practice addresses (Care Compare)

1059 E Hwy 11 E
Jefferson City, TN 37760-4910
Phone (865) 375-6005

3614 W Andrew Johnson Hwy
Morristown, TN 37814-3602
Phone (423) 586-9495

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40967TNMDAmbulatory Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthstar Physicians, P.C. CurrentSince Oct 1, 2013 Accepting new patients
Apogee Medical Group Tennessee PC Internal Medicine CurrentSince Mar 1, 2011 Accepting new patients
Healthstar Physicians PC CurrentSince Oct 1, 2013 Accepting new patients
Baystate Affiliated Practice Organization Internal Medicine Past Accepting new patients
Mercy Physician Services, LLC Past Accepting new patients
Baystate Medical Practices, Inc Internal Medicine Past Accepting new patients

Locations

1059 E Highway 11 E
Jefferson City, TN 37760
Phone (865) 375-6005

657 E Broadway Blvd
Ste D
Jefferson City, TN 37760
Phone (865) 262-0037

657 E Broadway Blvd
Ste C
Jefferson Cty, TN 37760
Phone (423) 586-1717

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

420 W Morris Blvd
Ste 400A
Morristown, TN 37813
Phone (423) 318-6617

420 W Morris Blvd
Ste 400C
Morristown, TN 37813
Phone (423) 586-0443

5741 W Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 585-0686

Interoperability endpoints

  • Direct secure messaging: mathew.kraus.1@3525.direct.athenahealth.com

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 2

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1235178047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1059 E HIGHWAY 11 E",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377604910",
            "telephone_number": "865-375-6005",
            "fax_number": "865-471-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 E HIGHWAY 11 E",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377604910",
            "telephone_number": "865-375-6005",
            "fax_number": "865-471-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUS",
        "first_name": "MATHEW",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "40967",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "40967",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mathew.kraus.1@3525.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1059 E Highway 11 E",
            "city": "Jefferson City",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377604910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jefferson City, TN

Sources for this page

Verify at the official NPI Registry.