Individual provider Active NPI

Richard A Krakow, M.D.

  • Specialist
  • Roswell, GA
National Provider Identifier
1932108719
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
016377 Issued in GA
Practice address
11685 Alpharetta Hwy
200
Roswell, GA 30076-4910
Phone
(770) 442-3328
Fax
(770) 664-6781
NPI assigned
Jul 14, 2005
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 016377 GA Primary

Addresses

Primary practice location

11685 Alpharetta Hwy
200
Roswell, GA 30076-4910

Mailing address

11685 Alpharetta Hwy
Ste 200
Roswell, GA 30076-4910
Phone (770) 442-3328

Other identifiers 2

IdentifierTypeStateIssuer
142553OtherGABCBS OF GA.
00586561AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Georgia Dermatology, P.C. PastSince Aug 1, 2012 Accepting new patients

Organizations & group practices 1

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1932108719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11685 ALPHARETTA HWY",
            "address_2": "STE 200",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764910",
            "telephone_number": "770-442-3328",
            "fax_number": "770-664-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11685 ALPHARETTA HWY",
            "address_2": "200",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764910",
            "telephone_number": "770-442-3328",
            "fax_number": "770-664-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAKOW",
        "first_name": "RICHARD",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "016377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF GA.",
            "identifier": "142553",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00586561A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.