Todd M. Kravetz, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

34440 Issued in AZ

Practice address

523 Rose LN
Wickenburg, AZ 85390-1448

Phone

(928) 668-1833

Fax

(926) 684-7457

NPI assigned

May 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

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.

Enrollment records 1

Specialty

Internal Medicine

Education

University of Toledo College of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Hospital Association IncGroup PAC ID 4981688900, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community First Home Health Care, LLC Home health agency, Wickenburg, AZ, CCN 037481
• Care Partners Health Services, Inc. Home health agency, Avondale, AZ, CCN 037261
• Assisted Home Health Home health agency, Phoenix, AZ, CCN 037220
• Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015
• Wickenburg Community Hospital Hospital, Wickenburg, AZ, CCN 031300
• Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
• Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Community Hospital Association, Inc.

  • Critical Access Hospital
  • Wickenburg, AZ
  • NPI 1841282852
  Medicare reassignment Care Compare group
• Wickenburg Diabetes & Wound Care Center LLC

  • Internal Medicine Physician
  • Wickenburg, AZ
  • NPI 1578361481

  Family Medicine

  NPD
• Community Hospital Association, Inc.

  • Rural Health Clinic/Center
  • Wickenburg, AZ
  • NPI 1225274210
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Assisted Home Recovery, Inc.

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1508313255
  Care Compare affiliation
• Banner del E Webb Medical Center

  • General Acute Care Hospital
  • Sun City West, AZ
  • NPI 1588823553
  Care Compare affiliation
• Banner Home Care-Arizona

  • Home Health Agency
  • Sun City, AZ
  • NPI 1023051927
  Care Compare affiliation
• Care Partners Health Services Inc

  • Home Health Agency
  • Avondale, AZ
  • NPI 1376763219
  Care Compare affiliation
• Community First Home Health Care, LLC

  • Home Health Agency
  • Wickenburg, AZ
  • NPI 1336698729
  Care Compare affiliation
• Community Hospital Association, Inc.

  • Critical Access Hospital
  • Wickenburg, AZ
  • NPI 1841282852
  Care Compare affiliation
• Honorhealth

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1770690695
  Care Compare affiliation

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1497700041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271669",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841271669",
            "telephone_number": "928-684-4383",
            "fax_number": "928-684-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 ROSE LN",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "853901448",
            "telephone_number": "928-668-1833",
            "fax_number": "926-684-7457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Rose Ln",
            "address_purpose": "LOCATION",
            "city": "Wickenburg",
            "state": "AZ",
            "postal_code": "853901447",
            "country_code": "US",
            "telephone_number": "928-668-1883",
            "fax_number": "928-684-2434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32919 N Center St",
            "address_purpose": "LOCATION",
            "city": "Wittmann",
            "state": "AZ",
            "postal_code": "853619433",
            "country_code": "US",
            "telephone_number": "928-668-1833",
            "fax_number": "928-684-2434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26750 S Santa Fe Rd",
            "address_2": "Ste B",
            "address_purpose": "LOCATION",
            "city": "CONGRESS",
            "state": "AZ",
            "postal_code": "85332",
            "country_code": "US",
            "telephone_number": "928-668-1833",
            "fax_number": "928-684-2434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAVETZ",
        "first_name": "TODD",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2024-05-07",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35069162",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "34440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061483",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0238997",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Elizabeth Juillard, DO
• KC'S Home Healthcare LLC
• Edward F Kirk, D.D.S.
• Kokopelli Eye Care PC
• Oksana Konko
• Carrie Kray, LCSW
• Laboratory Corporation of America
• Christopher Thomas Larson
• Courtney Leboeuf, PMHNP-BC
• Tara Renae Littell, PT, DPT

• Internal Medicine Physician in Wickenburg, AZ
• Providers in Wickenburg, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.

Verify at the official NPI Registry.