Samuel Louis Krakow, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD432470 Issued in PA

Practice address

3836 Brunswick Ave
Drexel Hill, PA 19026-2811

Phone

(610) 547-9081

NPI assigned

Sep 26, 2008

Last updated

Sep 26, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222387200000",
    "number": "1477703494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3836 BRUNSWICK AVE",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190262811",
            "telephone_number": "610-547-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3836 BRUNSWICK AVE",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190262811",
            "telephone_number": "610-547-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAKOW",
        "first_name": "SAMUEL",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD432470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Dragon Ko, M.D.
• Gurpreet S Kochar, MD
• Geoffrey Lane Koff, M.D.
• Milad Kosa, D.O.
• Michele A Kossey, MD
• Dennis W Kropp, DO
• Nuhad Afif Kulaylat, M.D.
• Andrew Kunkel, DO
• Rachelle Lanciano, MD
• Margaret Lane

• Family Medicine Physician in Drexel Hill, PA
• Providers in Drexel Hill, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.