Active NPI
Daniel E Kraft, MD
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Lebanon, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 01039565A
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100382710 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 01039565A | IN | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Witham Memorial Hospital | Current | Accepting new patients | |
| Witham Memorial Hospital | Current | 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
- 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.
-
- Physical Therapist
- Zionsville, IN
- NPI 1952282204
-
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.