Individual provider Active NPI

Madeline C Krauss, M.D.

  • Dermatology Physician
  • Wellesley, MA
National Provider Identifier
1265489595
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
153616 Issued in MA
Practice address
1 Washington Sreet
Suite 401
Wellesley, MA 02481
Phone
(781) 416-3500
NPI assigned
May 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 153616 MA Primary

Addresses

Primary practice location

1 Washington Sreet
Suite 401
Wellesley, MA 02481

Mailing address

111 Temple St
West Newton, MA 02465-2313
Phone (781) 416-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20051024000520 MA Practitioner - Dermatology 8729004270 Practice locations: Wellesley, MA

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: madeline.krauss@kraussderm.eclinicaldirectplus.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431043200000",
    "number": "1265489595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 TEMPLE ST",
            "city": "WEST NEWTON",
            "state": "MA",
            "postal_code": "024652313",
            "telephone_number": "781-416-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON SREET",
            "address_2": "SUITE 401",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "02481",
            "telephone_number": "781-416-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUSS",
        "first_name": "MADELINE",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2015-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "153616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

Verify at the official NPI Registry.