Active NPI
Stephen M Krant, M.D.
- Plastic Surgery Physician
- La Jolla, CA
National Provider Identifier
1467571448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- G29780
- Practice address
- 528 Nautilus St
La Jolla, CA 92037-6138 - Phone
- (858) 454-3161
- Fax
- (858) 459-2442
- NPI assigned
- Mar 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | G29780 | CA | Primary |
Addresses
Primary practice location
528 Nautilus St
La Jolla, CA 92037-6138
Mailing address
528 Nautilus St
La Jolla, CA 92037-6138
Phone (858) 454-3161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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
- Plastic and Reconstructive Surgery
- Education
- Yale University School of Medicine, 1969
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
528 Nautilus St
La Jolla, CA 92037-6138
Phone (858) 454-3161
Hospital & facility affiliations
- Scripps Memorial Hospital la Jolla
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 25 |
| Removal of tissue | 158 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G29780 | CA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Stephen M. Krant M.D. a Medical Corporation | Current | Accepting new patients | |
| SK Cllinic Surgical Center | Past | Accepting new patients |
Locations
528 Nautilus St
La Jolla, CA 92037
Phone (858) 454-3161
Interoperability endpoints
- skrant28483@scrippshlth.medalliesdirect.net
Organizations & group practices 3
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.
-
- Specialist
- La Jolla, CA
- NPI 1386944072
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Ambulatory Surgical Clinic/Center
- La Jolla, CA
- NPI 1952560740
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467571448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "528 NAUTILUS ST",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920376138",
"telephone_number": "858-454-3161",
"fax_number": "858-459-2442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "528 NAUTILUS ST",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920376138",
"telephone_number": "858-454-3161",
"fax_number": "858-459-2442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRANT",
"first_name": "STEPHEN",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "G29780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.