Individual provider Active NPI

Jeffrey J Krebs, D.O.

  • Family Medicine Physician
  • Montrose, CO
National Provider Identifier
1942399431
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28091 Issued in CO
Practice address
5 Hillcrest Plaza Way
Montrose, CO 81401-5876
Phone
(970) 249-9678
Fax
(970) 249-1868
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 28091 CO Primary

Addresses

Primary practice location

5 Hillcrest Plaza Way
Montrose, CO 81401-5876

Mailing address

5 Hillcrest Plaza Way
Montrose, CO 81401-5876
Phone (970) 249-9678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20100909000483 CO Practitioner - Family Practice 6002931474 Practice locations: Montrose, CO

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28091COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey J Krebs, DO, PC Family Medicine PastSince Jul 30, 2010 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1942399431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HILLCREST PLAZA WAY",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015876",
            "telephone_number": "970-249-9678",
            "fax_number": "970-249-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HILLCREST PLAZA WAY",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015876",
            "telephone_number": "970-249-9678",
            "fax_number": "970-249-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREBS",
        "first_name": "JEFFREY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "28091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

Verify at the official NPI Registry.