Individual provider Active NPI

Nicholas James Krebs, M.D.

  • Pediatrics Physician
  • Castle Pines, CO
National Provider Identifier
1942509237
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
54126 Issued in CO
Practice address
7501 Village Square Dr Ste 207
Castle Pines, CO 80108-3708
Phone
(720) 779-1991
Fax
(303) 694-2680
NPI assigned
Mar 25, 2011
Last updated
May 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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 54126 CO Primary

Addresses

Primary practice location

7501 Village Square Dr Ste 207
Castle Pines, CO 80108-3708

Mailing address

7501 Village Square Dr Ste 207
Castle Pines, CO 80108-3708
Phone (720) 779-1991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20140417001437 OK Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 9335371715

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54126COMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwood Pediatrics PC PastSince Apr 1, 2021 Accepting new patients
Castle Pines Pediatrics, PLLC Pediatrics Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21749/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nicholas.krebs.1@21749.direct.athenahealth.com

Organizations & group practices 2

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": "1301011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1942509237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 VILLAGE SQUARE DR STE 207",
            "city": "CASTLE PINES",
            "state": "CO",
            "postal_code": "801083708",
            "telephone_number": "720-779-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 VILLAGE SQUARE DR STE 207",
            "city": "CASTLE PINES",
            "state": "CO",
            "postal_code": "801083708",
            "telephone_number": "720-779-1991",
            "fax_number": "303-694-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREBS",
        "first_name": "NICHOLAS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-25",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "54126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Pines, CO

Sources for this page

Verify at the official NPI Registry.