Individual provider Active NPI

Stephen J Krebs, M.D.

  • Pediatrics Physician
  • Carlisle, PA
National Provider Identifier
1235179276
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
017106E Issued in PA
Practice address
804 Belvedere St
Carlisle, PA 17013-4001
Phone
(717) 246-1653
Fax
(717) 243-6708
NPI assigned
Jun 7, 2006
Last updated
Aug 12, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 017106E PA Primary

Addresses

Primary practice location

804 Belvedere St
Carlisle, PA 17013-4001

Mailing address

804 Belvedere St
Carlisle, PA 17013-4001
Phone (717) 246-1653

Other identifiers 3

IdentifierTypeStateIssuer
131116OtherPAHIGHMARK PROVIDER
01609501OtherPACAPITOL PROVDER NUMBER
000724744MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160324000330 PA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 2860799590

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
017106EPAMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: skrebsmd@carlislepeds.opdirect.net

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, 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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1235179276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 BELVEDERE ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170134001",
            "telephone_number": "717-246-1653",
            "fax_number": "717-243-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 BELVEDERE ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170134001",
            "telephone_number": "717-246-1653",
            "fax_number": "717-243-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREBS",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "017106E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PROVIDER",
            "identifier": "131116",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITOL PROVDER NUMBER",
            "identifier": "01609501",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000724744",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

Verify at the official NPI Registry.