Ian Kroes, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A73577 Issued in CA

Practice address

401 Burgess Dr Ste a
Menlo Park, CA 94025-3476

Phone

(650) 800-3365

NPI assigned

Aug 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 26, 2019 through Feb 26, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: ian.kroes@4966202802180.direct.elationemr.com

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1437263068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BURGESS DR STE A",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940253476",
            "telephone_number": "650-800-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BURGESS DR STE A",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940253476",
            "telephone_number": "650-800-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROES",
        "first_name": "IAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A73577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Kraemer, PH.D.
• Juliet M Kral, MD
• Sara Lynne Krasner, PSYD
• Danielle E Kraus, OTR/L
• Svetlana Kreimer, LMFT
• Eric R Kuhn, PH.D.
• Patricia Ellen Kuljian, PH.D.
• Madhur Kulkarni, PH.D.
• Haley Kumar
• Sundaram Pravin Kumar, RPH.

• Family Medicine Physician in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.