NPIMap

Individual provider Active NPI

Mary Beth Krafty, MD

  • Family Medicine Physician
  • Star Junction, PA
National Provider Identifier
1598739922
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD029900E Issued in PA
Practice address
111 Tony Row
Star Junction, PA 15482
Phone
(724) 736-0601
Fax
(724) 736-0940
NPI assigned
Feb 14, 2006
Last updated
Apr 12, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD029900E PA Primary

Addresses

Primary practice location

111 Tony Row
Star Junction, PA 15482

Mailing address

111 Tony Row
PO Box 337
Star Junction, PA 15482-0337
Phone (724) 736-0601

Other identifiers 1

IdentifierTypeStateIssuer
1134170MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090423000108 PA Practitioner - Family Practice 0143378554 Practice locations: Star Junction, PA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Hahnemann University College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

111 Tony Row Rd
Star Junction, PA 15482-0337
Phone (724) 736-4588

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD029900EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Highlands Hospital and Health Center Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FHIFBA/Endpoint/FHIFBA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365724800000",
    "number": "1598739922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 TONY ROW",
            "address_2": "PO BOX 337",
            "city": "STAR JUNCTION",
            "state": "PA",
            "postal_code": "154820337",
            "telephone_number": "724-736-0601",
            "fax_number": "724-736-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 TONY ROW",
            "city": "STAR JUNCTION",
            "state": "PA",
            "postal_code": "15482",
            "telephone_number": "724-736-0601",
            "fax_number": "724-736-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAFTY",
        "first_name": "MARY BETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2013-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD029900E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134170",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.