Active NPI
Charles Edward Krause, M.D.
- Family Medicine Physician
- Richland, WA
National Provider Identifier
1609976208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00020631
- Practice address
- 750 Swift Blvd
Suite 22
Richland, WA 99352-3521 - Phone
- (509) 946-2340
- Fax
- (509) 946-2350
- NPI assigned
- Sep 24, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00020631 | WA | Primary |
Addresses
Primary practice location
750 Swift Blvd
Suite 22
Richland, WA 99352-3521
Mailing address
750 Swift Blvd
Suite 22
Richland, WA 99352-3521
Phone (509) 946-2340
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0206593 | Other | WA | DEPT OF L AND I |
| 611588400 | Other | WA | EEOICP |
| P00297263 | Other | WA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00020631 | WA | MD | Family Medicine Physician |
| 025209 | WA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Lady of Lourdes Health Center | Past | Accepting new patients | |
| Our Lady of Lourdes Health Center | Past | Accepting new patients | |
| Lourdes Hospital LLC | Family Medicine | Past | Accepting new patients |
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.
-
- Primary Care Clinic/Center
- Connell, WA
- NPI 1538213616
-
- Urology Physician
- Pasco, WA
- NPI 1649785569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303776000000",
"number": "1609976208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 SWIFT BLVD",
"address_2": "SUITE 22",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993523521",
"telephone_number": "509-946-2340",
"fax_number": "509-946-2350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 SWIFT BLVD",
"address_2": "SUITE 22",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993523521",
"telephone_number": "509-946-2340",
"fax_number": "509-946-2350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAUSE",
"first_name": "CHARLES",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-24",
"last_updated": "2011-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00020631",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF L AND I",
"identifier": "0206593",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EEOICP",
"identifier": "611588400",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00297263",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.