Individual provider Active NPI

John Kersten Kraft, M D

  • Urology Physician
  • San Jose, CA
National Provider Identifier
1679646533
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
G23536 Issued in CA
Practice address
2581 Samaritan Drive
Suite 200
San Jose, CA 95124
Phone
(408) 358-2030
Fax
(408) 358-2036
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X G23536 CA Primary

Addresses

Primary practice location

2581 Samaritan Drive
Suite 200
San Jose, CA 95124

Mailing address

2581 Samaritan Drive
Suite 200
San Jose, CA 95124
Phone (408) 358-2030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20041222000492 CA Practitioner - Urology 7517925696 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.48 of 100Reported as group
Quality
80.12
Promoting interoperability
100
Improvement activities
40
Cost
71.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G23536CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Camino Health Medical Network, LLC CurrentSince Mar 1, 2024 Accepting new patients
Urological Surgeons of Northern California, Inc. Urology CurrentSince Mar 1, 2009 Accepting new patients
Pacific Partners Medical Group Inc. PastSince Jan 1, 2013 Accepting new patients
El Camino Health Medical Group Past Accepting new patients

Locations

825 Pollard Rd
Ste 100
Los Gatos, CA 95032
Phone (408) 356-0444

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

320 Dardanelli Ln
Ste 23B
Los Gatos, CA 95032
Phone (408) 866-2500

2490 Hospital Dr
Ste 210
Mountain View, CA 94040
Phone (650) 962-4321

2550 Samaritan Dr
Ste D
San Jose, CA 95124
Phone (408) 358-2666

2581 Samaritan Dr
Ste 200
San Jose, CA 95124
Phone (408) 358-2030

2505 Samaritan Dr
Ste 600
San Jose, CA 95124
Phone (408) 358-3458

2460 Samaritan Dr
San Jose, CA 95124
Phone (408) 358-1911

2581 Samaritan Dr
#34001
San Jose, CA 95124

Interoperability endpoints

  • Direct secure messaging: jkraft7340@icare.elcaminohospital.org

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679646533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2581 SAMARITAN DRIVE",
            "address_2": "SUITE 200",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95124",
            "telephone_number": "408-358-2030",
            "fax_number": "408-358-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2581 SAMARITAN DRIVE",
            "address_2": "SUITE 200",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95124",
            "telephone_number": "408-358-2030",
            "fax_number": "408-358-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAFT",
        "first_name": "JOHN",
        "middle_name": "KERSTEN",
        "credential": "M D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G23536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.