Active NPI
Thomas W Kravitz, M.D.
- Internal Medicine Physician
- Santa Fe, NM
National Provider Identifier
1295838100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 83-63
- Practice address
- 404 Brunn School Rd
BLDG C
Santa Fe, NM 87505-1102 - Phone
- (505) 984-1141
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 83-63 | NM | Primary |
Addresses
Primary practice location
404 Brunn School Rd
BLDG C
Santa Fe, NM 87505-1102
Mailing address
404 Brunn School Rd
BLDG C
Santa Fe, NM 87505-1102
Phone (505) 984-1141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19307 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040702000249 | NM | Practitioner - Internal Medicine | 4284611716 | Practice locations: Santa Fe, NM |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
404 Brunn School Rd
Santa Fe, NM 87505-1102
Phone (505) 984-1141
Hospital & facility affiliations
- Christus St Vincent Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83-63 | NM | MD | Internal Medicine Physician |
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Fe, NM
- NPI 1578587150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210032000000",
"number": "1295838100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 BRUNN SCHOOL RD",
"address_2": "BLDG C",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875051102",
"telephone_number": "505-984-1141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 BRUNN SCHOOL RD",
"address_2": "BLDG C",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875051102",
"telephone_number": "505-984-1141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAVITZ",
"first_name": "THOMAS",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2008-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NM",
"license": "83-63",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "19307",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.