Individual provider Active NPI

Daniel E Kraft, MD

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Lebanon, IN
National Provider Identifier
1346294121
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
01039565A Issued in IN
Practice address
2705 N Lebanon St Ste 210
Lebanon, IN 46052-8622
Phone
(765) 485-8896
Fax
(765) 485-8795
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Sports Medicine Physician 2080S0010X 01039565A IN
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 01039565A IN Primary

Addresses

Primary practice location

2705 N Lebanon St Ste 210
Lebanon, IN 46052-8622

Mailing address

2605 N Lebanon St
Lebanon, IN 46052-1476

Other practice location 1

6085 Heartland Dr Ste 204
Zionsville, IN 46077-4433
Phone (765) 485-8896

Other identifiers 1

IdentifierTypeStateIssuer
100382710MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dkraft@withamdirect.org Health Information Exchange (HIE) Witham Memorial Hospital

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100113000080 IN Practitioner - Sports Medicine 8224179270 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01039565AINMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Witham Memorial Hospital CurrentSince Nov 27, 2017 Accepting new patients
Witham Memorial Hospital CurrentSince Nov 27, 2017 Accepting new patients
Indiana University Health Care Associates, Inc Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

2605 N Lebanon St
Lebanon, IN 46052
Phone (765) 485-8000

2705 N Lebanon St
Ste 305
Lebanon, IN 46052
Phone (765) 485-8677

2705 N Lebanon St
Ste 210
Lebanon, IN 46052
Phone (765) 485-8790

2505 N Lebanon St
Ste 220
Lebanon, IN 46052
Phone (765) 482-8649

6085 Heartland Dr
Ste 204
Zionsville, IN 46077
Phone (317) 768-2134

Interoperability endpoints

  • Direct secure messaging: dkraft@withamdirect.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1346294121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 N LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 N LEBANON ST STE 210",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460528622",
            "telephone_number": "765-485-8896",
            "fax_number": "765-485-8795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6085 Heartland Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Zionsville",
            "state": "IN",
            "postal_code": "460774433",
            "country_code": "US",
            "telephone_number": "765-485-8896",
            "fax_number": "765-485-8795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAFT",
        "first_name": "DANIEL",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080S0010X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sports Medicine",
            "state": "IN",
            "license": "01039565A",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "IN",
            "license": "01039565A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100382710",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dkraft@withamdirect.org",
            "affiliation": "Y",
            "affiliationName": "Witham Memorial Hospital",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2705 N Lebanon St Ste 210",
            "city": "Lebanon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460528622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lebanon, IN

Sources for this page

Verify at the official NPI Registry.