NPIMap

Individual provider Active NPI

Eric M Kraska, M.D.

  • Emergency Medicine Physician
  • Meridian, ID
National Provider Identifier
1306893359
Registry record updated Sep 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD175591 Issued in OR
Practice address
2963 E Copper Point Dr
Meridian, ID 83642-9055
Phone
(208) 947-0590
NPI assigned
May 27, 2006
Last updated
Sep 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2004-0116 NM
Emergency Medicine Physician 207P00000X MD175591 OR Primary

Addresses

Primary practice location

2963 E Copper Point Dr
Meridian, ID 83642-9055

Mailing address

PO Box 2505
Salem, OR 97308-2505
Phone (888) 828-3197

Other identifiers 5

IdentifierTypeStateIssuer
85-0236178-031OtherMOLINA HEALTHCARE SALUD
10013393OtherLOVELACE
14924OtherPRESBY- TERIAN
62157256MedicaidNM
85-0236178-021OtherMOLINA HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, OR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121231000330 ID Practitioner - Emergency Medicine 9234191271 Reassigns benefits to 3 organizations
I20160616001725 OR Practitioner - Emergency Medicine 9234191271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America LLCGroup PAC ID 6608056171, shared by 18 NPIs, 995 clinicians

Practice addresses (Care Compare)

1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-2121

1775 Thompson Rd
Coos Bay, OR 97420-2125
Phone (541) 269-8111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2004-0116NMMDEmergency Medicine Physician
MD175591ORMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Teton Valley Health Care Inc Current Accepting new patients
Teton Valley Health Care, Inc CurrentSince Mar 20, 2023 Accepting new patients
Teton Valley Health Care Inc Emergency Medicine CurrentSince Mar 20, 2023 Accepting new patients
Teton Valley Health Care Inc CurrentSince Aug 21, 2025 Accepting new patients
Cep America, LLC Emergency Medicine CurrentSince Aug 1, 2016 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jun 1, 2016 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jun 1, 2016 Accepting new patients
Cep America, LLC Emergency Medicine Current Accepting new patients
Idaho Emergency Physicians, P.a. Emergency Medicine PastSince Dec 1, 2011 Accepting new patients
Medical Imaging Associates of Idaho Falls, Inc Past Accepting new patients

Locations

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

120 E Howard St
Driggs, ID 83422
Phone (208) 354-2302

283 N 1st St
Driggs, ID 83422
Phone (208) 354-2302

4300 E Flamingo Ave
Nampa, ID 83687
Phone (208) 205-1000

1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090

2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611

Interoperability endpoints

  • Direct secure messaging: ekraska1563847@direct.trinity-health.org

Organizations & group practices 11

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504656000000",
    "number": "1306893359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2505",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973082505",
            "telephone_number": "888-828-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2963 E COPPER POINT DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429055",
            "telephone_number": "208-947-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRASKA",
        "first_name": "ERIC",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2017-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "2004-0116",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD175591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA HEALTHCARE SALUD",
            "identifier": "85-0236178-031",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOVELACE",
            "identifier": "10013393",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBY- TERIAN",
            "identifier": "14924",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "62157256",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA HEALTHCARE",
            "identifier": "85-0236178-021",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.