Active NPI
Peter M Cram, MD
- Internal Medicine Physician
- Galveston, TX
National Provider Identifier
1437132883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- T1337
- Practice address
- 400 Harborside Drive
Galveston, TX 77555-1009 - Phone
- (409) 747-1883
- Fax
- (409) 747-7012
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 34857 | IA | |
| Internal Medicine Physician | 207R00000X | T1337 | TX | Primary |
Addresses
Primary practice location
400 Harborside Drive
Galveston, TX 77555-1009
Mailing address
PO Box 650859 Dept 710
Dallas, TX 75265
Phone (409) 772-2222
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0279729 | Medicaid | IA | |
| 59574 | Other | IA | WELLMARK BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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 |
|---|---|---|---|---|
| I20250829001945 | OH | Order and Referring Only - Geriatric Medicine | 5092844464 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34857 | IA | MD | Internal Medicine Physician |
| T1337 | TX | MD | Internal Medicine 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": "1628553600000",
"number": "1437132883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 650859 DEPT 710",
"city": "DALLAS",
"state": "TX",
"postal_code": "75265",
"telephone_number": "409-772-2222",
"fax_number": "409-772-1084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 HARBORSIDE DRIVE",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775551009",
"telephone_number": "409-747-1883",
"fax_number": "409-747-7012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAM",
"first_name": "PETER",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-21",
"last_updated": "2021-08-10",
"certification_date": "2021-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "34857",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "T1337",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0279729",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "59574",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.