NPIMap

Individual provider Active NPI

John Keith Krebs, M.D.

  • Orthopaedic Surgery Physician
  • Cleveland, OH
National Provider Identifier
1649256801
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
35-066400 Issued in OH
Practice address
2322 E 22ND St Ste 201
Cleveland, OH 44115-3100
Phone
(216) 241-8654
NPI assigned
Dec 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 35-066400 OH Primary

Addresses

Primary practice location

2322 E 22ND St Ste 201
Cleveland, OH 44115-3100

Mailing address

PO Box 932127
Cleveland, OH 44193-0008
Phone (216) 241-8654

Other practice location 1

25200 Center Ridge Rd Ste 1100
Westlake, OH 44145-4146
Phone (216) 241-8654

Other identifiers 2

IdentifierTypeStateIssuer
200017599OtherRAILROAD CARE
0106665MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address directmob201@cleveland.ipsmso.com Outreach Professional Services Inc
Direct Messaging Address directmob201@cleveland.ipsmso.com Outreach Professional Services Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20090803000625 OH Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 3072666403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
University of Kentucky College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3557 Embassy Pkwy
Akron, OH 44333-8358
Phone (330) 670-1005

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement11
Knee replacement13
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-066400OHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal Clinic Orthopaedic Center LLC Orthopaedic Surgery CurrentSince Nov 15, 2022 Accepting new patients
Outreach Professional Services Inc Orthopaedic Surgery CurrentSince Sep 19, 2018 Accepting new patients
Outreach Professional Services, Inc CurrentSince Sep 19, 2018 Accepting new patients
Crystal Clinic Orthopaedic Center LLC Orthopaedic Surgery CurrentSince Nov 15, 2022 Accepting new patients

Locations

3975 Embassy Pkwy
Ste 202
Akron, OH 44333
Phone (330) 668-4085

416 W 27th St
Ashtabula, OH 44004
Phone (440) 650-1884

2475 E 22nd St
Ste 120
Cleveland, OH 44115
Phone (216) 367-9444

2322 E 22nd St
Ste 201
Cleveland, OH 44115
Phone (216) 241-8654

3557 Embassy Pkwy
Fairlawn, OH 44333
Phone (330) 670-1005

6701 Rockside Rd
Ste 103
Independence, OH 44131
Phone (216) 369-2800

25200 Center Ridge Rd
Ste 1100
Westlake, OH 44145
Phone (216) 241-8654

29325 Health Campus Dr
Ste 3
Westlake, OH 44145
Phone (440) 414-9400

Organizations & group practices 4

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1649256801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932127",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930008",
            "telephone_number": "216-241-8654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 E 22ND ST STE 201",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153100",
            "telephone_number": "216-241-8654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25200 Center Ridge Rd Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Westlake",
            "state": "OH",
            "postal_code": "441454146",
            "country_code": "US",
            "telephone_number": "216-241-8654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREBS",
        "first_name": "JOHN",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35-066400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD CARE",
            "identifier": "200017599",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0106665",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "directmob201@cleveland.ipsmso.com",
            "affiliation": "Y",
            "affiliationName": "Outreach Professional Services Inc",
            "address_1": "2322 E 22nd St Ste 201",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441153100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "directmob201@cleveland.ipsmso.com",
            "affiliation": "Y",
            "affiliationName": "Outreach Professional Services Inc",
            "address_1": "25200 Center Ridge Rd Ste 1100",
            "city": "Westlake",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441454146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.