Individual provider Active NPI

Ira Paul Krefting, M.D.

  • Pulmonary Disease Physician
  • Rockville, MD
National Provider Identifier
1336252113
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
D21435 Issued in MD
Practice address
11124 Luxmanor Rd
Rockville, MD 20852-3620
Phone
(301) 770-1416
Fax
(301) 770-1416
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X D21435 MD Primary

Addresses

Primary practice location

11124 Luxmanor Rd
Rockville, MD 20852-3620

Mailing address

11124 Luxmanor Rd
Rockville, MD 20852-3620
Phone (301) 770-1416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20110627000205 MD Order and Referring Only - Pulmonary DiseasePractitioner - Pulmonary DiseasePractitioner - Internal Medicine 4880647742

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D21435MDMDPulmonary Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336252113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11124 LUXMANOR RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523620",
            "telephone_number": "301-770-1416",
            "fax_number": "301-770-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11124 LUXMANOR RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523620",
            "telephone_number": "301-770-1416",
            "fax_number": "301-770-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREFTING",
        "first_name": "IRA",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MD",
            "license": "D21435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.