Alan G Krantz, D.P.M.
Individual provider Active NPI Podiatrist · Brockton, MA
NPI 1720054547 · NPPES record last updated Dec 5, 2012
Key facts
- NPI
- 1720054547
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- 1569 (MA)
- Practice address
- 400 West St
Brockton, MA 02301-4170 - Phone
- (508) 587-9500
- Fax
- (508) 580-6869
- NPI assigned
- Feb 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Illinois Medical College, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
400 W St
Brockton, MA 02301-4170
Phone (508) 587-9500
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 94 |
| Removal of skin lesions | 61 |
| Removal of nail tissue | 520 |
| Removal or shaving of skin growth | 240 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060411000225 | MA | Practitioner - Podiatry | 0547279192 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1569 | MA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alan G. Krantz, D.P.M., P.C. | Podiatrist | Current |
Accepting new patients |
Locations
400 West St
Ste 2
Brockton, MA 02301
Phone (508) 586-0540
400 West St
Brockton, MA 02301
Phone (508) 587-9500
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BBHCAA/Endpoint/BBHCAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 1569 | MA | Yes |
Addresses
Primary practice location
400 West St
Brockton, MA 02301-4170
Mailing address
400 West St
Brockton, MA 02301-4170
Phone (508) 587-9500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2315920 | Other | US HEALTHCARE | |
| 2701021 | Other | UNITED HEALTHCARE | |
| 33012 | Other | MA | PILGRIM |
| 702679 | Other | MA | TUFTS HEALTHPLAN |
| B70031301 | Other | CIGNA | |
| AL Y77100 | Other | MA | BLUE SHIELD |
| S021908 | Other | CHAMPUS | |
| KY Y70664 | Other | MA | BLUE SHIELD INDIVIDUAL # |
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.