Individual provider Active NPI

Gary Louis Kraker, DO

  • Family Medicine Physician
  • Warren, OH
National Provider Identifier
1669439063
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.007465 Issued in OH
Practice address
320 High St NE
Warren, OH 44481-1222
Phone
(330) 797-0070
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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 34.007465 OH Primary

Addresses

Primary practice location

320 High St NE
Warren, OH 44481-1222

Mailing address

527 N Meridian Rd
Youngstown, OH 44509-1227
Phone (330) 797-0070

Other practice location 1

527 N Meridian Rd
Youngstown, OH 44509-1227
Phone (330) 797-0070

Other practice location 2

8255 South Ave
Youngstown, OH 44512-6483
Phone (330) 797-0070

Other practice location 3

550 W Chalmers Ave
Youngstown, OH 44511-1576
Phone (330) 797-0070

Other identifiers 1

IdentifierTypeStateIssuer
2388438MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20031114000302 OH Practitioner - Family Practice 4981518040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meridian HealthcareGroup PAC ID 3779553995, 25 clinicians

Practice addresses (Care Compare)

527 N Meridian Rd
Youngstown, OH 44509-1227
Phone (330) 797-0070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.007465OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Healthcare Family Medicine CurrentSince Sep 16, 2015 Accepting new patients
Meridian Healthcare CurrentSince Sep 16, 2015 Accepting new patients
Meridian Healthcare CurrentSince Sep 16, 2015 Accepting new patients
4M Emergency Systems LLC Past Accepting new patients

Locations

320 High St NE
Warren, OH 44481
Phone (330) 394-9090

527 N Meridian Rd
Youngstown, OH 44509
Phone (330) 797-0074

8255 South Ave
Youngstown, OH 44512
Phone (330) 318-3830

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Meridian HealthcareYoungstown, OH, CCN D21103 Federally qualified health center Corporate Director Sep 16, 2015
Meridian HealthcareYoungstown, OH, CCN D21110 Federally qualified health center W-2 Managing Employee Jul 15, 2025
Meridian HealthcareYoungstown, OH, CCN D21111 Federally qualified health center W-2 Managing Employee Jul 15, 2025

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1669439063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 N MERIDIAN RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445091227",
            "telephone_number": "330-797-0070",
            "fax_number": "330-797-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 HIGH ST NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444811222",
            "telephone_number": "330-797-0070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "527 N Meridian Rd",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445091227",
            "country_code": "US",
            "telephone_number": "330-797-0070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8255 South Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445126483",
            "country_code": "US",
            "telephone_number": "330-797-0070",
            "fax_number": "330-797-9146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 W Chalmers Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445111576",
            "country_code": "US",
            "telephone_number": "330-797-0070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAKER",
        "first_name": "GARY",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.007465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2388438",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.