Individual provider Active NPI

Karma A Kristufek, PA-C

  • Medical Physician Assistant
  • Madison, IN
National Provider Identifier
1245430362
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
10000799A Issued in IN
Practice address
122 Demaree Dr
Madison, IN 47250-4622
Phone
(812) 265-9191
Fax
(812) 265-1050
NPI assigned
Jul 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 10000799A IN Primary

Addresses

Primary practice location

122 Demaree Dr
Madison, IN 47250-4622

Mailing address

500 S Hyland St
Scottsburg, IN 47170-1039
Phone (252) 287-2689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071204000106 IN Practitioner - Physician Assistant 5698864395 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madison Dermatology LLCGroup PAC ID 1153380258, 4 clinicians

Practice addresses (Care Compare)

122 Demaree Dr
Madison, IN 47250-4622
Phone (812) 265-9191

Hospital & facility affiliations

  • Norton-King'S Daughters' Health Hospital, Madison, IN, CCN 150069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10000799AINMDMedical Physician Assistant

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1245430362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S HYLAND ST",
            "city": "SCOTTSBURG",
            "state": "IN",
            "postal_code": "471701039",
            "telephone_number": "252-287-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 DEMAREE DR",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472504622",
            "telephone_number": "812-265-9191",
            "fax_number": "812-265-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISTUFEK",
        "first_name": "KARMA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-18",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "10000799A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, IN

Sources for this page

Verify at the official NPI Registry.