Individual provider Active NPI

Shane Arthur Kraske, M.D.

  • Diagnostic Radiology Physician
  • Coralville, IA
National Provider Identifier
1568419604
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
33735 Issued in IA
Practice address
2769 Heartland Drive
Suite 105
Coralville, IA 52241
Phone
(319) 545-7310
Fax
(319) 545-7314
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 33735 IA Primary

Addresses

Primary practice location

2769 Heartland Drive
Suite 105
Coralville, IA 52241

Mailing address

2771 Oakdale Blvd Ste 3
Coralville, IA 52241-9747
Phone (319) 545-7310

Other identifiers 7

IdentifierTypeStateIssuer
44527OtherIABLUE CROSS BLUE SHIELD
19402OtherIABLUE CROSS BLUE SHIELD
0253070MedicaidIA
2253070MedicaidIA
30171OtherIABLUE CROSS BLUE SHIELD
1253070MedicaidIA
44526OtherIABLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20100609000194 IA Practitioner - Diagnostic Radiology 1850481938 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Iowa, RJ & L Carver College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mahaska County HospitalGroup PAC ID 2769388677, shared by 6 NPIs, 128 clinicians
Corridor Radiology LLCGroup PAC ID 7214179829, 7 clinicians
Radiologic Medical Services PCGroup PAC ID 3577451491, 29 clinicians

Practice addresses (Care Compare)

201 Trueblood Ave
Oskaloosa, IA 52577-1757
Phone (641) 676-7361

2769 Heartland Dr
Coralville, IA 52241-2732
Phone (319) 545-7300

37 Columbine CT
Iowa City, IA 52246-8716
Phone (641) 672-3315

500 E Market St
Iowa City, IA 52245-2633
Phone (319) 339-3629

Hospital & facility affiliations

  • Mahaska Health Partnership Hospital, Oskaloosa, IA, CCN 161379
  • Compass Memorial Healthcare Hospital, Marengo, IA, CCN 161317
  • Keokuk County Health Center Hospital, Sigourney, IA, CCN 161315
  • University of Iowa Hospital & Clinics Hospital, Iowa City, IA, CCN 160058

Merit-based Incentive Payment System (MIPS)

Final score
95.71 of 100Reported as apm
Quality
89.85
Promoting interoperability
94.05
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.17 of 100Reported as group
Quality
75.5
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.83 of 100Reported as individual
Quality
61.67
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mahaska County Hospital Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Radiologic Medical Services PC Diagnostic Radiology CurrentSince Jul 1, 2002 Accepting new patients
Corridor Radiology, LLC Diagnostic Radiology CurrentSince Jul 1, 2013 Accepting new patients
Mahaska County Hospital Current Accepting new patients
Sincera Health PLLC Past Accepting new patients

Locations

2769 Heartland Dr
Ste 307
Coralville, IA 52241
Phone (319) 545-7310

1101 5th St
Ste 200
Coralville, IA 52241
Phone (319) 339-3629

2769 Heartland Dr
Ste 105
Coralville, IA 52241
Phone (319) 545-7300

2405 Towncrest Dr
Iowa City, IA 52240
Phone (319) 351-5556

500 E Market St
Iowa City, IA 52245
Phone (319) 339-0300

2771 Oakdale Blvd
Ste 3
Oakdale, IA 52241
Phone (319) 545-7310

1229 C Ave E
Oskaloosa, IA 52577
Phone (641) 672-3100

201 Trueblood Ave
Oskaloosa, IA 52577
Phone (641) 672-3360

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1568419604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2771 OAKDALE BLVD STE 3",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522419747",
            "telephone_number": "319-545-7310",
            "fax_number": "319-626-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2769 HEARTLAND DRIVE",
            "address_2": "SUITE 105",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "52241",
            "telephone_number": "319-545-7310",
            "fax_number": "319-545-7314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRASKE",
        "first_name": "SHANE",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "33735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "44527",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "19402",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0253070",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2253070",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "30171",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1253070",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "44526",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

Verify at the official NPI Registry.