Individual provider Active NPI

Deborah Krakow, MD

  • Clinical Genetics (M.D.) Physician
  • Santa Monica, CA
National Provider Identifier
1689657579
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
G57061 Issued in CA
Practice address
1250 16TH St Ste 2100
Santa Monica, CA 90404-1249
Phone
(310) 319-1234
NPI assigned
Nov 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) Physician 207SG0201X G57061 CA Primary
Obstetrics & Gynecology Physician 207V00000X G57061 CA
Maternal & Fetal Medicine Physician 207VM0101X G57061 CA
Orthopaedic Surgery Physician 207X00000X G57061 CA

Addresses

Primary practice location

1250 16TH St Ste 2100
Santa Monica, CA 90404-1249

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

1245 16th St Ste 312
Santa Monica, CA 90404-1239
Phone (310) 794-7274

Other practice location 2

13160 Mindanao Way Ste 317
Marina Del Rey, CA 90292-7907
Phone (310) 301-0040

Other practice location 3

200 Ucla Medical Plz Ste 430
Los Angeles, CA 90095-3075
Phone (310) 794-7274

Other identifiers 1

IdentifierTypeStateIssuer
00G570610MedicaidCA

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
I20080612000728 CA Practitioner - Obstetrics/GynecologyPractitioner - Orthopedic SurgeryPractitioner - Pediatric MedicinePractitioner - Other (Physician) 6305917766 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Regents of the University of CaliforniaGroup PAC ID 0143124289, 53 clinicians

Practice addresses (Care Compare)

1225 15TH St
Suite 2100
Santa Monica, CA 90404-1101
Phone (310) 319-1234

1250 16TH St
Santa Monica, CA 90404-1249

200 Medical Plaza
Los Angeles, CA 90095-0001
Phone (310) 794-7274

200 Medical PLZ
Suite 430
Los Angeles, CA 90095-6957
Phone (310) 794-7274

757 Westwood PLZ
Los Angeles, CA 90095-0001
Phone (310) 825-9111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.28 of 100Reported as group
Quality
76.27
Promoting interoperability
100
Improvement activities
40
Cost
68.45

Merit-based Incentive Payment System (MIPS)

Final score
87.27 of 100Reported as group
Quality
80.41
Promoting interoperability
100
Improvement activities
40
Cost
68.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G57061CAMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California Obstetrics & Gynecology CurrentSince Sep 11, 2017 Accepting new patients
Regents of the University of California Orthopaedic Surgery CurrentSince Apr 1, 2014 Accepting new patients
Regents of the University of California Orthopaedic Surgery CurrentSince Apr 1, 2014 Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
Orthopaedic Hospital Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
UCLA Medical Group Maternal & Fetal Medicine Past Accepting new patients
The Regents of the University of California Past Accepting new patients

Locations

200 UCLA Medical Plz
Ste 430
Los Angeles, CA 90095
Phone (310) 208-4492

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

403 W Adams Blvd
Fl Third
Los Angeles, CA 90007

File 54206
Los Angeles, CA 90074

200 Medical Plz
Ste 430
Los Angeles, CA 90095
Phone (310) 794-8282

403 W Adams Blvd
Los Angeles, CA 90007
Phone (213) 741-8330

File 54456
Los Angeles, CA 90074

13160 Mindanao Way
Ste 317
Marina del Rey, CA 90292
Phone (310) 301-0040

1250 16th St
Ste 2100
Santa Monica, CA 90404
Phone (424) 259-6593

1245 16th St
Ste 312
Santa Monica, CA 90404
Phone (310) 453-1982

1250 16th St
Santa Monica, CA 90404
Phone (310) 301-8695

Interoperability endpoints

  • Direct secure messaging: dkrakow32591@direct.uclahealth.org
  • Direct secure messaging: deborah.krakowmd.p1@direct.plannedparenthoodla.nextgenshare.com

Organizations & group practices 8

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": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1689657579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 16TH ST STE 2100",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041249",
            "telephone_number": "310-319-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1245 16th St Ste 312",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904041239",
            "country_code": "US",
            "telephone_number": "310-794-7274",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13160 Mindanao Way Ste 317",
            "address_purpose": "LOCATION",
            "city": "Marina Del Rey",
            "state": "CA",
            "postal_code": "902927907",
            "country_code": "US",
            "telephone_number": "310-301-0040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Ucla Medical Plz Ste 430",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900953075",
            "country_code": "US",
            "telephone_number": "310-794-7274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAKOW",
        "first_name": "DEBORAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "CA",
            "license": "G57061",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G57061",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "G57061",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G57061",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G570610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.