Active NPI
Robert Kratz
- Emergency Medicine Physician
- Raleigh, NC
National Provider Identifier
1326197344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 000-21987
- Practice address
- 4601 Lake Boone TRL
Suite 1D
Raleigh, NC 27607-7503 - Phone
- (919) 861-9777
- Fax
- (919) 861-9776
- NPI assigned
- Jan 9, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 000-21987 | NC | Primary |
Addresses
Primary practice location
4601 Lake Boone TRL
Suite 1D
Raleigh, NC 27607-7503
Mailing address
4601 Lake Boone TRL
Suite 1D
Raleigh, NC 27607-7503
Phone (919) 861-9777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50291 | Other | NC | BCNC |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21987 | NC | MD | Pharmacist |
| 000-21987 | NC | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405036800000",
"number": "1326197344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 LAKE BOONE TRL",
"address_2": "SUITE 1D",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077503",
"telephone_number": "919-861-9777",
"fax_number": "919-861-9776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 LAKE BOONE TRL",
"address_2": "SUITE 1D",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077503",
"telephone_number": "919-861-9777",
"fax_number": "919-861-9776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRATZ",
"first_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2014-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "000-21987",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCNC",
"identifier": "50291",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.