Individual provider Active NPI

Hilary Blythe Krause, M.D.

  • Pediatrics Physician
  • San Diego, CA
National Provider Identifier
1275626905
Registry record updated Oct 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A90650 Issued in CA
Practice address
3500 5TH Ave Ste 101
San Diego, CA 92103-5020
Phone
(619) 295-3911
Fax
(619) 295-4356
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2023

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 A90650 CA Primary

Addresses

Primary practice location

3500 5TH Ave Ste 101
San Diego, CA 92103-5020

Mailing address

3500 5TH Ave Ste 101
San Diego, CA 92103-5020
Phone (619) 295-3911

Other names 1

  • Dr. Hilary Blythe Cohen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A90650CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Diego Uptown Pediatric Medical Group, Inc Pediatrics Current Accepting new patients
Scripps Health Current Accepting new patients
Bertha Gee-Lew MD Faap Inc Pediatrics Past Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

3500 5th Ave
Ste 101
San Diego, CA 92103
Phone (619) 295-3911

Interoperability endpoints

  • Direct secure messaging: hkrause81219@scrippshlth.medalliesdirect.net

Organizations & group practices 5

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697328000000",
    "number": "1275626905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 5TH AVE STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035020",
            "telephone_number": "619-295-3911",
            "fax_number": "619-295-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 5TH AVE STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035020",
            "telephone_number": "619-295-3911",
            "fax_number": "619-295-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUSE",
        "first_name": "HILARY",
        "middle_name": "BLYTHE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-10-15",
        "certification_date": "2023-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A90650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HILARY",
            "last_name": "COHEN",
            "middle_name": "BLYTHE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.