Individual provider Active NPI

Laura Kraus, M.D.

  • Pediatrics Physician
  • Jefferson City, TN
National Provider Identifier
1902820624
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
41028 Issued in TN
Practice address
1059 E Highway 11 E
Jefferson City, TN 37760-4910
Phone
(865) 375-6005
Fax
(865) 471-0244
NPI assigned
Jul 26, 2006
Last updated
Feb 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 41028 TN Primary

Addresses

Primary practice location

1059 E Highway 11 E
Jefferson City, TN 37760-4910

Mailing address

1059 E Highway 11 E
Jefferson City, TN 37760-4910
Phone (865) 375-6005

Other identifiers 1

IdentifierTypeStateIssuer
3832941MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address laura.kraus.1@3525.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20070425000234 TN Practitioner - Pediatric Medicine 5799880449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Tennessee, HSC, College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthstar Physicians PCGroup PAC ID 5890690978, 89 clinicians

Practice addresses (Care Compare)

1059 E Hwy 11 E
Jefferson City, TN 37760-4910
Phone (865) 375-6005

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthstar Physicians, P.C. CurrentSince Oct 1, 2013 Accepting new patients
Healthstar Physicians PC CurrentSince Oct 1, 2013 Accepting new patients
East Tennessee Primary Care Associates Past Accepting new patients
Mercy Physician Services, LLC Past Accepting new patients

Locations

1059 E Highway 11 E
Jefferson City, TN 37760
Phone (865) 375-6005

657 E Broadway Blvd
Ste D
Jefferson City, TN 37760
Phone (865) 262-0037

657 E Broadway Blvd
Ste C
Jefferson Cty, TN 37760
Phone (423) 586-1717

420 W Morris Blvd
Ste 400A
Morristown, TN 37813
Phone (423) 318-6617

420 W Morris Blvd
Ste 400C
Morristown, TN 37813
Phone (423) 586-0443

5741 W Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 585-0686

Interoperability endpoints

  • Direct secure messaging: laura.kraus.1@3525.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1902820624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1059 E HIGHWAY 11 E",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377604910",
            "telephone_number": "865-375-6005",
            "fax_number": "865-471-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 E HIGHWAY 11 E",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377604910",
            "telephone_number": "865-375-6005",
            "fax_number": "865-471-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUS",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "41028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3832941",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laura.kraus.1@3525.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1059 E Highway 11 E",
            "city": "Jefferson City",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377604910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jefferson City, TN

Sources for this page

Verify at the official NPI Registry.