Active NPI
Stephen Terry Kraus, MD
- Radiation Oncology Physician
- New Orleans, LA
National Provider Identifier
1346223799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- MD.05613
- Practice address
- 150 S Liberty St
HC-62
New Orleans, LA 70112-2618 - Phone
- (504) 988-6300
- Fax
- (504) 988-6348
- NPI assigned
- Nov 21, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 053474 | GA | |
| Radiation Oncology Physician | 2085R0001X | MD.05613 | LA | Primary |
Addresses
Primary practice location
150 S Liberty St
HC-62
New Orleans, LA 70112-2618
Mailing address
1415 Tulane Ave
TW-4
New Orleans, LA 70112-2600
Phone (504) 988-3290
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CL3407 | Other | RAILROAD MEDICARE GROUP | |
| 14119 | Other | PEACH STATE | |
| 264365013A | Medicaid | GA | |
| 341219 | Other | WELLCARE | |
| GRP754 | Other | MEDICARE GROUP | |
| 1316857 | Medicaid | LA | |
| P00066205 | Other | RAILROAD MEDICARE |
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 |
|---|---|---|---|
| 053474 | GA | MD | Radiation Oncology Physician |
| MD.05613 | LA | MD | Radiation Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285027200000",
"number": "1346223799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 TULANE AVE",
"address_2": "TW-4",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122600",
"telephone_number": "504-988-3290",
"fax_number": "504-988-6216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 S LIBERTY ST",
"address_2": "HC-62",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122618",
"telephone_number": "504-988-6300",
"fax_number": "504-988-6348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAUS",
"first_name": "STEPHEN",
"middle_name": "TERRY",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-21",
"last_updated": "2010-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "GA",
"license": "053474",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "LA",
"license": "MD.05613",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP",
"identifier": "CL3407",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEACH STATE",
"identifier": "14119",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "264365013A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "341219",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "GRP754",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1316857",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00066205",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.