NPIMap

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
Sex
Female
Sole proprietor
No

Organizations & group practices 12

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.

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 Practice 3 clinicians
Perry County Memorial Hospital 28 clinicians

Practice addresses (Care Compare)

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
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

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

Locations

18485 State Road 37
Leopold, IN 47551
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

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

Interoperability endpoints

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

Specialties & licenses 2

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

Addresses

NPPES NPI Registry

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

NPPES NPI Registry
  • Krystle S Haag Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 24, 2023.

{
    "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.