Individual provider Active NPI

Michael Saul Krachman, M.D.

  • Gastroenterology Physician
  • Somers Point, NJ
National Provider Identifier
1649347345
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MA57167 Issued in NJ
Practice address
408 Bethel Rd
Suite E
Somers Point, NJ 08244-2172
Phone
(609) 926-3330
Fax
(609) 926-9033
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MA57167 NJ Primary

Addresses

Primary practice location

408 Bethel Rd
Suite E
Somers Point, NJ 08244-2172

Mailing address

408 Bethel Rd
Suite E
Somers Point, NJ 08244-2172
Phone (609) 926-3330

Other identifiers 3

IdentifierTypeStateIssuer
4233975OtherNJAETNA
5166101MedicaidNJ
724126OtherNJAMERIHEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20040610000017 NJ Practitioner - Gastroenterology 1153315510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Irvine California College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allied Digestive Health LLCGroup PAC ID 5991027583, 282 clinicians

Practice addresses (Care Compare)

408 Bethel Rd
Suite E
Somers Point, NJ 08244-2172
Phone (609) 926-3330

Hospital & facility affiliations

  • Atlanticare Regional Medical Center - City Campus Hospital, Atlantic City, NJ, CCN 310064
  • Shore Medical Center Hospital, Somers Point, NJ, CCN 310047

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy193
Upper gastrointestinal (GI) endoscopy for acid reflux232

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA57167NJMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Digestive Health, LLC Gastroenterology CurrentSince May 30, 2021 Accepting new patients
Atlantic Coast Gastroenterology Associates Gastroenterology Past Accepting new patients

Locations

2500 English Creek Ave
Ste 903
Egg Harbor Township, NJ 08234
Phone (609) 645-1880

2500 English Creek Ave
Egg Hbr Twp, NJ 08234
Phone (609) 407-0021

408 Bethel Rd
Ste E
Somers Point, NJ 08244
Phone (609) 926-3330

1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220

Interoperability endpoints

  • Direct secure messaging: michael.krachman.1@24721.direct.athenahealth.com

Organizations & group practices 2

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 2

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1649347345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 BETHEL RD",
            "address_2": "SUITE E",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442172",
            "telephone_number": "609-926-3330",
            "fax_number": "609-926-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 BETHEL RD",
            "address_2": "SUITE E",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442172",
            "telephone_number": "609-926-3330",
            "fax_number": "609-926-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRACHMAN",
        "first_name": "MICHAEL",
        "middle_name": "SAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "MA57167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4233975",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5166101",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "724126",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

Verify at the official NPI Registry.