Samuel M Krainsky, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD027849E Issued in PA

Practice address

2128 Conwell Ave
Philadelphia, PA 19115-2310

Phone

(215) 677-9980

Fax

(215) 288-5646

NPI assigned

May 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

State licenses

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1790730067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 CONWELL AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191152310",
            "telephone_number": "215-677-9980",
            "fax_number": "215-288-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2128 CONWELL AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191152310",
            "telephone_number": "215-677-9980",
            "fax_number": "215-288-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAINSKY",
        "first_name": "SAMUEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD027849E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0898180",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Leflar Kraft, CRNP
• Walter K. Kraft, M.D.
• Samantha Jo Krahling, MS
• Alysa Beth Krain, MD
• Samuel Krain, MD
• Arielle Krakow
• Emma Christine Krall
• Max Krall, MD
• David J Kraman, MD
• Jason Marc Kraman, LSW

• Internal Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.