Active NPI
Kevin R Krafft, M.D.
- Rehabilitation Practitioner
- Boise, ID
National Provider Identifier
1447253232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- M7222
- Practice address
- 1000 N Curtis Rd
Ste 202
Boise, ID 83706-1346 - Phone
- (208) 377-3435
- Fax
- (208) 377-3147
- NPI assigned
- May 24, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | M7222 | ID | Primary |
Addresses
Primary practice location
1000 N Curtis Rd
Ste 202
Boise, ID 83706-1346
Mailing address
1000 N Curtis Rd
Ste 202
Boise, ID 83706-1346
Phone (208) 377-3435
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 804140000 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- University of Washington School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6140 W Curtisian Ave
Suite 400
Boise, ID 83704-8907
Phone (208) 327-5650
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M7222 | ID | MD | Rehabilitation Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Physical Medicine and Rehabilitation PLLC | Current | Accepting new patients |
Locations
1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152
6140 W Curtisian Ave
Ste 400
Boise, ID 83704
Phone (208) 327-5600
Organizations & group practices 1
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 Medicine & Rehabilitation Physician
- Boise, ID
- NPI 1629398821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317340800000",
"number": "1447253232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 N CURTIS RD",
"address_2": "STE 202",
"city": "BOISE",
"state": "ID",
"postal_code": "837061346",
"telephone_number": "208-377-3435",
"fax_number": "208-377-3147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N CURTIS RD",
"address_2": "STE 202",
"city": "BOISE",
"state": "ID",
"postal_code": "837061346",
"telephone_number": "208-377-3435",
"fax_number": "208-377-3147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAFFT",
"first_name": "KEVIN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2011-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "ID",
"license": "M7222",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "804140000",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.