Individual provider Active NPI

Krystle Susan Hahus, M.D.

  • Pediatrics Physician
  • Leopold, IN
National Provider Identifier
1275974255
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01076569A Issued in IN
Practice address
18485 State Road 37
Leopold, IN 47551-8072
Phone
(812) 843-3038
NPI assigned
Jul 8, 2013
Last updated
Jan 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 125.062982 IL
Pediatrics Physician 208000000X 01076569A IN Primary

Addresses

Primary practice location

18485 State Road 37
Leopold, IN 47551-8072

Mailing address

8885 State Road 237
Tell City, IN 47586-8567
Phone (812) 547-7011

Other practice location 1

721 W 13th St
Suite 321
Jasper, IN 47546-1855
Phone (812) 996-7918

Other names 1

  • Krystle S Haag Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180920002013 IN Practitioner - Pediatric Medicine 7911149471 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Indiana University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perry County Family PracticeGroup PAC ID 6204867559, 3 clinicians
Perry County Memorial HospitalGroup PAC ID 6901871276, shared by 10 NPIs, 28 clinicians

Practice addresses (Care Compare)

18485 State Rd
Suite 37
Leopold, IN 47551-8072
Phone (812) 547-3447

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.062982ILMDPediatrics Physician
01076569AINMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Perry County Memorial Hospital CurrentSince Sep 10, 2018 Accepting new patients
Perry County Memorial Hospital Pediatrics CurrentSince Oct 1, 2019 Accepting new patients
Perry County Memorial Hospital Current Accepting new patients
Perry County Memorial Hospital CurrentSince Oct 1, 2019 Accepting new patients

Locations

18485 State Road 37
Leopold, IN 47551
Phone (812) 547-3447

109 US Highway 66 E
Tell City, IN 47586
Phone (812) 547-3447

148 13th St
Tell City, IN 47586
Phone (812) 547-0333

8885 State Road 237
Tell City, IN 47586
Phone (812) 547-0185

Interoperability endpoints

  • Direct secure messaging: khahus@yourcarecommunity.org
  • Direct secure messaging: krystle.hahus.1@21400.direct.athenahealth.com

Organizations & group practices 4

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": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1275974255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8885 STATE ROAD 237",
            "city": "TELL CITY",
            "state": "IN",
            "postal_code": "475868567",
            "telephone_number": "812-547-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18485 STATE ROAD 37",
            "city": "LEOPOLD",
            "state": "IN",
            "postal_code": "475518072",
            "telephone_number": "812-843-3038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "721 W 13th St",
            "address_2": "Suite 321",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "IN",
            "postal_code": "475461855",
            "country_code": "US",
            "telephone_number": "812-996-7918",
            "fax_number": "812-996-1644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAHUS",
        "first_name": "KRYSTLE",
        "middle_name": "SUSAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125.062982",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01076569A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTLE",
            "last_name": "HAAG",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Leopold, IN

Sources for this page

Verify at the official NPI Registry.