Individual provider Active NPI

Steven M Krawtz, M.D.

  • Pulmonary Disease Physician
  • Pocatello, ID
National Provider Identifier
1972563310
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
M9083 Issued in ID
Practice address
500 S 11TH Ave
Suite 305
Pocatello, ID 83201-4835
Phone
(208) 233-5864
NPI assigned
Mar 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X M9083 ID Primary

Addresses

Primary practice location

500 S 11TH Ave
Suite 305
Pocatello, ID 83201-4835

Mailing address

500 S 11TH Ave Ste 305
Pocatello, ID 83201-4879
Phone (208) 233-5864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20040923000867 ID Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 2860460128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pocatello Health Services LLCGroup PAC ID 6608927637, 171 clinicians

Practice addresses (Care Compare)

777 Hospital Way
Pocatello, ID 83201-5175
Phone (208) 239-2655

Hospital & facility affiliations

  • Portneuf Medical Center Hospital, Pocatello, ID, CCN 130028
  • Nell J Redfield Memorial Hospital Hospital, Malad City, ID, CCN 131303
  • Bear Lake Memorial Hospital Hospital, Montpelier, ID, CCN 131316
  • Bingham Memorial Hospital Hospital, Blackfoot, ID, CCN 131325

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M9083IDMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pocatello Health Services, LLC CurrentSince Apr 19, 2009 Accepting new patients
Pocatello Health Services, LLC Current Accepting new patients
Pocatello Hospital LLC Internal Medicine Current Accepting new patients
Pocatello Health Services, LLC CurrentSince Apr 19, 2009 Accepting new patients
Portneuf Medical Center Past Accepting new patients
Pocatello Pulmonary PC Pulmonary Disease Past Accepting new patients

Locations

777 Hospital Way
Ste 215
Pocatello, ID 83201
Phone (208) 239-2580

777 Hospital Way
Ste 202
Pocatello, ID 83201
Phone (208) 239-2640

777 Hospital Way
#202
Pocatello, ID 83201

777 Hospital Way
Pocatello, ID 83201
Phone (208) 239-1000

Interoperability endpoints

  • Direct secure messaging: skrawtz179530@ahs.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1972563310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S 11TH AVE STE 305",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014879",
            "telephone_number": "208-233-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S 11TH AVE",
            "address_2": "SUITE 305",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014835",
            "telephone_number": "208-233-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAWTZ",
        "first_name": "STEVEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "ID",
            "license": "M9083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

Verify at the official NPI Registry.