Active NPI
Richard Miller Krebs, M.D.
- Internal Medicine Physician
- Portland, OR
National Provider Identifier
1306989272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 170913
- Practice address
- 1700 NE 102ND Ave
Portland, OR 97220-3804 - Phone
- (971) 229-6990
- NPI assigned
- Feb 14, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 1421 | OR | |
| Internal Medicine Physician | 207R00000X | 170913 | OR | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | OR |
Addresses
Primary practice location
1700 NE 102ND Ave
Portland, OR 97220-3804
Mailing address
5815 NE Going St
Portland, OR 97218-2636
Phone (503) 348-0459
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1421 | Other | OR | LICENSE NUMBER |
Other names 1
- Dr. Richard Miller Krebs
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1421 | OR | MD | Clinical Psychologist |
| 170913 | OR | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433721600000",
"number": "1306989272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5815 NE GOING ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972182636",
"telephone_number": "503-348-0459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 NE 102ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972203804",
"telephone_number": "971-229-6990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREBS",
"first_name": "RICHARD",
"middle_name": "MILLER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2015-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "1421",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "170913",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OR",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "1421",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RICHARD",
"last_name": "KREBS",
"middle_name": "MILLER",
"prefix": "DR.",
"credential": "N.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.