Active NPI
Bruce A. Kraus, M.D.
- Internal Medicine Physician
- Columbus, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 21498-020
- Practice address
- 1515 Park Ave
Columbus, WI 53925-1618 - Phone
- (920) 623-2200
- NPI assigned
- Apr 27, 2006
- Last updated
- Nov 27, 2023
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 21498-020 | WI | Primary |
Addresses
Primary practice location
1515 Park Ave
Columbus, WI 53925-1618
Mailing address
1515 Park Ave
Columbus, WI 53925-1618
Phone (920) 623-2323
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30196000 | Medicaid | WI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | BKraus261127@direct-ehr-ssmhc.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Wisconsin School of Medicine, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1515 Park Ave
Columbus, WI 53925-1618
Phone (920) 623-2200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21498-020 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairie Ridge Health, Inc. | Current | Accepting new patients | |
| Prairie Ridge Health, Inc. | Current | Accepting new patients | |
| Prairie Ridge Health Inc. | Current | Accepting new patients | |
| Prairie Ridge Health, Inc. | Current | Accepting new patients | |
| Dean Health Systems, Inc, | Past | Accepting new patients | |
| Columbus Operator, LLC | Past | Accepting new patients |
Locations
1511 Park Ave
Columbus, WI 53925
Phone (920) 623-3012
1511 Park Ave
Ste 6H
Columbus, WI 53925
Phone (920) 623-2323
1515 Park Ave
Columbus, WI 53925
Phone (920) 623-1200
Interoperability endpoints
- bkraus261127@direct-ehr-ssmhc.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Columbus Health and Rehab | Skilled nursing facility | Corporate Director | Jan 19, 2024 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Columbus Health and Rehab
- Skilled Nursing Facility
- Columbus, WI
- NPI 1750376489
Corporate Director
Organizations & group practices 7
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.
-
- Critical Access Hospital
- Columbus, WI
- NPI 1154403657
-
- Critical Access Hospital
- Columbus, WI
- NPI 1841376183
-
dba Prairie Ridge Health Clinic-Sun Prairie
- Family Medicine Physician
- Sun Prairie, WI
- NPI 1699534545
-
dba Prairie Ridge Health Clinic
- Primary Care Clinic/Center
- Marshall, WI
- NPI 1477005544
-
- Orthopaedic Surgery Physician
- Columbus, WI
- NPI 1912329335
-
dba Columbus Health and Rehab
- Skilled Nursing Facility
- Columbus, WI
- NPI 1750376489
-
dba Dean Clinic-Beaver Dam Family & Sports Orthopedic Center
- Durable Medical Equipment & Medical Supplies
- Beaver Dam, WI
- NPI 1336425016
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Columbus, WI
- NPI 1154403657
-
- Critical Access Hospital
- Columbus, WI
- NPI 1841376183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1659338150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 PARK AVE",
"city": "COLUMBUS",
"state": "WI",
"postal_code": "539251618",
"telephone_number": "920-623-2323",
"fax_number": "920-623-5171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 PARK AVE",
"city": "COLUMBUS",
"state": "WI",
"postal_code": "539251618",
"telephone_number": "920-623-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAUS",
"first_name": "BRUCE",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2023-11-27",
"certification_date": "2020-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "21498-020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30196000",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "BKraus261127@direct-ehr-ssmhc.com",
"affiliation": "Y",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "BKraus261127@direct-ehr-ssmhc.com",
"address_1": "1515 PARK AVE",
"city": "COLUMBUS",
"state": "WI",
"country_code": "US",
"postal_code": "539251618",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbus, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.