Individual provider Active NPI

Robert Wayne Krakovitz, M.D.

  • Public Health & General Preventive Medicine Physician
  • Aspen, CO
National Provider Identifier
1689887358
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
24952 Issued in CO
Practice address
220 W Main St
Suite 203
Aspen, CO 81611-1767
Phone
(970) 920-4413
Fax
(970) 927-4394
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
Yes

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
Public Health & General Preventive Medicine Physician 2083P0901X 24952 CO Primary

Addresses

Primary practice location

220 W Main St
Suite 203
Aspen, CO 81611-1767

Mailing address

94 Elk Range Dr
Snowmass, CO 81654-9303
Phone (970) 927-4394

Other names 1

  • Dr. Rob Krakovitz Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24952COMDPublic Health & General Preventive Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689887358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 ELK RANGE DR",
            "city": "SNOWMASS",
            "state": "CO",
            "postal_code": "816549303",
            "telephone_number": "970-927-4394",
            "fax_number": "970-927-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W MAIN ST",
            "address_2": "SUITE 203",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816111767",
            "telephone_number": "970-920-4413",
            "fax_number": "970-927-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAKOVITZ",
        "first_name": "ROBERT",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CO",
            "license": "24952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROB",
            "last_name": "KRAKOVITZ",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Aspen, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.