Robert J Krauth, MD
Individual provider Active NPI Family Medicine Physician · Hendersonville, TN
NPI 1255355277 · NPPES record last updated Aug 12, 2019
Key facts
- NPI
- 1255355277
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 52175 (TN)
- Practice address
- 114 Saundersville Rd
Hendersonville, TN 37075-8967 - Phone
- (629) 888-5175
- Fax
- (629) 888-5176
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150901003397 | TN | Practitioner - Family Practice | 9133260698 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52175 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Thomas Medical Partners | Family Medicine | Current |
Accepting new patients |
Locations
114 Saundersville Rd
Hendersonville, TN 37075
Phone (629) 888-5175
105 Glen Oak Blvd
Ste 102
Hendersonvlle, TN 37075
Phone (629) 888-5175
300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088
300 20th Ave N
Fl 9
Nashville, TN 37203
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00038880 | WA | |
| Family Medicine Physician | 207Q00000X | 52175 | TN | Yes |
Addresses
Primary practice location
114 Saundersville Rd
Hendersonville, TN 37075-8967
Mailing address
300 20TH Ave N Ste 403
Nashville, TN 37203-2131
Phone (629) 888-5175
Other practice location 1
504 N 40th Ave
Yakima, WA 98908-4311
Phone (509) 966-9480
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q014327 | Medicaid | TN | |
| 10308I9045 | Other | TN | TN MEDICARE |
Other providers in Hendersonville, TN
- Monica Korgan
- Ella Kowaleski
- Stephanie Marie Kozel
- Jeremy Kozuh
- Ashley Lynne Krape
- Jordyn Kriegl
- Kroger Limited Partnership I
- Kroger Limited Partnership I
- Caili Krohn
- Peter B Kroll
All providers in Hendersonville, TN · Family Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.