Individual provider Active NPI

Steven M Krakora, D.M.D., M.D.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Washington, PA
National Provider Identifier
1366409799
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
DS030642L Issued in PA
Practice address
2112 N Franklin Dr
Suite 2
Washington, PA 15301-5892
Phone
(724) 223-0579
Fax
(724) 223-0597
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS030642L PA
Anesthesiology Physician 207L00000X DA031589 PA
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X DS030642L PA Primary

Addresses

Primary practice location

2112 N Franklin Dr
Suite 2
Washington, PA 15301-5892

Mailing address

2112 N Franklin Dr
Suite 2
Washington, PA 15301-5892
Phone (724) 223-0579

Other practice location 1

4100 Johnson Rd Ste 203
Steubenville, OH 43952-2372
Phone (740) 264-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040729000776 PA Practitioner - Oral SurgeryPractitioner - Anesthesiology 5698745370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Anesthesiology
Education
Univ of Pittsburgh School of Dental Medicine, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2112 N Franklin Dr
Suite 2
Washington, PA 15301-5891
Phone (724) 223-0579

Hospital & facility affiliations

  • Washington Hospital, the Hospital, Washington, PA, CCN 390042

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DA031589PAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nasser Emami DMD DDS Oral & Maxillofacial Surgery Inc Oral and Maxillofacial Surgery PastSince Jul 1, 1993 Accepting new patients
Dattilo and Hall LLC Oral and Maxillofacial Surgery PastSince Aug 1, 2016 Accepting new patients
Windber Hospital, Inc. Anesthesiology Past Accepting new patients

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1366409799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 N FRANKLIN DR",
            "address_2": "SUITE 2",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153015892",
            "telephone_number": "724-223-0579",
            "fax_number": "724-223-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 N FRANKLIN DR",
            "address_2": "SUITE 2",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153015892",
            "telephone_number": "724-223-0579",
            "fax_number": "724-223-0597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 Johnson Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Steubenville",
            "state": "OH",
            "postal_code": "439522372",
            "country_code": "US",
            "telephone_number": "740-264-5300",
            "fax_number": "740-264-4548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAKORA",
        "first_name": "STEVEN",
        "middle_name": "M",
        "credential": "D.M.D., M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS030642L",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "DA031589",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "PA",
            "license": "DS030642L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.