Michael D Krauss, MD

Primary specialty

Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X

License

01037755A Issued in IN

Practice address

1411 S Creasy LN
Suite 120
Lafayette, IN 47905-7438

Phone

(765) 447-4165

Fax

(765) 447-5939

NPI assigned

Oct 5, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1922095769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4699",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479034699",
            "telephone_number": "765-449-2732",
            "fax_number": "765-449-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 S CREASY LN",
            "address_2": "SUITE 120",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479057438",
            "telephone_number": "765-447-4165",
            "fax_number": "765-447-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUSS",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01037755A",
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "IN",
            "license": "01037755A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000382416",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200536400",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Makenna Kowal
• Anna Kozor, BCBA
• Merveille Akuvi Theodora Kpoti
• Adele O Kraft, MD
• Philip Charles Krause, MD
• Samantha A Kreinbring, DC
• Carrie Krekeler, PHARMD
• Seth P Kresovsky, MD
• Mariah Kreusch
• KC Krick

• Sports Medicine (Internal Medicine) Physician in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Sports Medicine (Internal Medicine) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.