Individual provider Active NPI

Daniel Edward Krach, MD

  • Ophthalmology Physician
  • Fort Wayne, IN
National Provider Identifier
1306806302
Registry record updated Oct 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01036895 Issued in IN
Practice address
2510 E Dupont Rd Ste 128
Fort Wayne, IN 46825-1603
Phone
(260) 489-4656
Fax
(260) 489-8280
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 01036895 IN Primary

Addresses

Primary practice location

2510 E Dupont Rd Ste 128
Fort Wayne, IN 46825-1603

Mailing address

2510 E Dupont Rd Ste 128
Fort Wayne, IN 46825-1603
Phone (260) 489-4656

Other identifiers 1

IdentifierTypeStateIssuer
100318780FMedicaidIN

Other names 1

  • Dr. Daniel Edward Krach Professional 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
I20100323000479 IN Practitioner - Ophthalmology 9032244512 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Indiana University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Ophthalmology P CGroup PAC ID 4688611692, 10 clinicians

Practice addresses (Care Compare)

3301 Lake Ave
Fort Wayne, IN 46805-5529
Phone (260) 422-3937

Merit-based Incentive Payment System (MIPS)

Final score
50.34 of 100Reported as group
Quality
41.58
Promoting interoperability
0
Improvement activities
40
Cost
73.15

Merit-based Incentive Payment System (MIPS)

Final score
21.17 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
70.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01036895INMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Ophthalmology P C Ophthalmology CurrentSince Sep 1, 2024 Accepting new patients
Northeast Ophthalmology P C Ophthalmology CurrentSince Sep 1, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

7750 W Jefferson Blvd
Ste B
Fort Wayne, IN 46804
Phone (260) 459-9595

3301 Lake Ave
Fort Wayne, IN 46805
Phone (219) 422-3939

11277 Twin Creeks Dr
Fort Wayne, IN 46845
Phone (260) 422-3937

Interoperability endpoints

  • Direct secure messaging: dkrach@vco.intellechartdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381449600000",
    "number": "1306806302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 E DUPONT RD STE 128",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251603",
            "telephone_number": "260-489-4656",
            "fax_number": "260-489-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 E DUPONT RD STE 128",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251603",
            "telephone_number": "260-489-4656",
            "fax_number": "260-489-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRACH",
        "first_name": "DANIEL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2013-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01036895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100318780F",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIEL",
            "last_name": "KRACH",
            "middle_name": "EDWARD",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.