NPIMap

Individual provider Active NPI

Terry Siriphatnaboon Krause, M.D.

  • Family Medicine Physician
  • Highlands Ranch, CO
National Provider Identifier
1356667554
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
52381 Issued in CO
Practice address
9475 S University Blvd
Highlands Ranch, CO 80126-7802
Phone
(303) 470-4071
Fax
(303) 470-4072
NPI assigned
Apr 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 52381 CO Primary

Addresses

Primary practice location

9475 S University Blvd
Highlands Ranch, CO 80126-7802

Mailing address

9135 Ridgeline Blvd
Suite 190
Highlands Ranch, CO 80129-2391
Phone (303) 649-3140

Other names 1

  • Terry Tipanan Siriphatnaboon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131107000058 CO Practitioner - Family Practice 7113152778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

22 S Adams St
Denver, CO 80209-2908
Phone (303) 321-2452

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52381COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Aug 1, 2013 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Apr 13, 2019 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Apr 13, 2019 Accepting new patients
Portercare Adventist Health System CurrentSince Aug 1, 2013 Accepting new patients
Uchealth Community Services Past Accepting new patients

Locations

15240 W 64th Ave
Arvada, CO 80007
Phone (303) 463-7180

16951 E Quincy Ave
Aurora, CO 80015
Phone (303) 752-5470

340 E 1st Ave
Ste 101
Broomfield, CO 80020
Phone (303) 544-3800

4404 Barranca Ln
Ste 101
Castle Rock, CO 80104
Phone (720) 733-5260

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

4404 Barranca Ln
Unit 101
Castle Rock, CO 80104
Phone (720) 733-5260

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

1700 N Marion St
Denver, CO 80218
Phone (303) 830-6666

311 Steele St
Denver, CO 80206
Phone (303) 372-4000

7000 E Belleview Ave
Ste 209
Greenwood Village, CO 80111
Phone (303) 850-9715

206 W County Line Rd
Ste 300
Highlands Ranch, CO 80129
Phone (303) 795-5980

9135 Ridgeline Blvd
Ste 190
Highlands Ranch, CO 80129
Phone (303) 649-3140

9475 S University Blvd
Highlands Ranch, CO 80126
Phone (303) 470-4061

10789 Bradford Rd
Ste 150
Littleton, CO 80127
Phone (303) 738-2714

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

8155 Piney River Ave
Ste 100
Littleton, CO 80125
Phone (303) 265-3370

9695 S Yosemite St
Ste 224
Lone Tree, CO 80124
Phone (303) 265-3970

19964 Hilltop Rd
Ste A
Parker, CO 80134
Phone (303) 841-2212

Organizations & group practices 7

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.

Hospital & facility affiliations 28

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1356667554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9135 RIDGELINE BLVD",
            "address_2": "SUITE 190",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292391",
            "telephone_number": "303-649-3140",
            "fax_number": "303-649-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 S UNIVERSITY BLVD",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801267802",
            "telephone_number": "303-470-4071",
            "fax_number": "303-470-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUSE",
        "first_name": "TERRY",
        "middle_name": "SIRIPHATNABOON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-13",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "52381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRY",
            "last_name": "SIRIPHATNABOON",
            "middle_name": "TIPANAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Highlands Ranch, CO

Sources for this page

Verify at the official NPI Registry.