Theresa D Krause, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L6236 Issued in TX

Practice address

4401 Highway 6 S
College Station, TX 77845-4428

Phone

(979) 690-4480

Fax

(979) 690-4481

NPI assigned

Jun 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: theresa.krause@sjrhc.eclinicaldirectplus.com

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.

• Jonathan a. Friedman, M.D., PLLC

  • Physician Assistant
  • Bryan, TX
  • NPI 1629127212
  NPD (past)
• St Joseph Physician Associates

  • Neurological Surgery Physician
  • Bryan, TX
  • NPI 1851405039

  Pediatrics

  NPD (past)
• TCH Pediatric Associates, Inc

  • Pediatrics Physician
  • Sugar Land, TX
  • NPI 1861492654
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1679517825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4421 HWY 6 SOUTH",
            "address_2": "STE 100",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "77845",
            "telephone_number": "979-690-4480",
            "fax_number": "979-690-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 HIGHWAY 6 S",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454428",
            "telephone_number": "979-690-4480",
            "fax_number": "979-690-4481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4421 Hwy 6 South",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "College Station",
            "state": "TX",
            "postal_code": "77845",
            "country_code": "US",
            "telephone_number": "979-690-4480",
            "fax_number": "979-690-4481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAUSE",
        "first_name": "THERESA",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L6236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160107204",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00048265",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8P8110",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR",
            "identifier": "121087",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160107206",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164422102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hayden Wade Kopetsky, PHARM. D
• Deena Kothmann, FNP
• Joseph W Kraft, MD
• Jessica Anne Kral
• Allison Kraus-Saravia
• Kayla Noelle Kretsinger
• Katherine Kay Kriger, P.A.
• Michael S. Kriger, PA
• Kroger Texas L P
• Kroger Texas L P

• Pediatrics Physician in College Station, TX
• Providers in College Station, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.