Active NPI
Mary Elizabeth Krebs, M.D.
- Family Medicine Physician
- Lebanon, OH
National Provider Identifier
1801912308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 87167
- Practice address
- 1231 Columbus Ave Unit A1
Lebanon, OH 45036-8196 - Phone
- (513) 696-4495
- Fax
- (513) 228-1236
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 87167 | OH | Primary |
Addresses
Primary practice location
1231 Columbus Ave Unit A1
Lebanon, OH 45036-8196
Mailing address
424 Wards Corner Rd Ste 200
Loveland, OH 45140-6966
Phone (513) 707-4041
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3038439 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Ohio State University College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
721 Miami Chapel Rd
Dayton, OH 45417-4650
Phone (937) 281-6800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87167 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Five Rivers Health Centers | Family Medicine | Current | Accepting new patients |
| Five Rivers Health Centers | Family Medicine | Current | Accepting new patients |
| Five Rivers Health Centers | Family Medicine | Current | Accepting new patients |
| Family Practice Associates of Southwest Ohio Inc | Family Medicine | Past | Accepting new patients |
Locations
2261 Philadelphia Dr
Dayton, OH 45406
Phone (937) 281-6800
721 Miami Chapel Rd
Dayton, OH 45417
Phone (937) 281-5970
Interoperability endpoints
- marykrebs@fpaswo.allscriptsdirect.net
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.
-
- Family Medicine Physician
- Dayton, OH
- NPI 1669143061
-
- Family Medicine Physician
- Dayton, OH
- NPI 1053600775
-
- Family Medicine Physician
- Xenia, OH
- NPI 1083501415
-
- Family Medicine Physician
- Middletown, OH
- NPI 1750478988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1801912308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 WARDS CORNER RD STE 200",
"city": "LOVELAND",
"state": "OH",
"postal_code": "451406966",
"telephone_number": "513-707-4041",
"fax_number": "513-576-1020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1231 COLUMBUS AVE UNIT A1",
"city": "LEBANON",
"state": "OH",
"postal_code": "450368196",
"telephone_number": "513-696-4495",
"fax_number": "513-228-1236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREBS",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "87167",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3038439",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.