KENT RYAN KRAUS
NPI 1063091114
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since April 06, 2021PECOS Enrolled
720 ESKENAZI AVE RM F2-163, INDIANAPOLIS, IN 46202(317) 278-5835 Get Directions Write a Review

NPPES record last updated: April 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 18, 2021, Apr 6, 2021 (2 updates tracked since 2021).

About Kent Ryan Kraus NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENT RYAN KRAUS (NPI 1063091114) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063091114
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKENT RYAN KRAUS
Location Address720 ESKENAZI AVE RM F2-163Indianapolis, IN 46202-5187
Mailing Address720 Eskenazi Ave Rm F2-163Indianapolis, IN 46202-5187 · (317) 278-5835
Sole ProprietorNo
Enumeration DateApril 6, 2021
Last NPPES UpdateApril 18, 20212 updates tracked since enumeration
NPPES CertifiedApril 18, 2021
NPI 1063091114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

720 ESKENAZI AVE RM F2-163, Indianapolis, IN 46202

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kent Ryan Kraus is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
720 ESKENAZI AVE RM F2-163
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
720 ESKENAZI AVE RM F2-163
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
720 ESKENAZI AVE RM F2-163
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
720 ESKENAZI AVE RM F2-163
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
720 ESKENAZI AVE RM F2-163
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
720 ESKENAZI AVE RM F2-163
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
720 ESKENAZI AVE RM F2-163
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
720 ESKENAZI AVE RM F2-163
INDIANAPOLIS, IN 46202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kent Kraus's NPI number?

The NPI number for Kent Kraus is 1063091114. It was assigned to this individual provider in the NPPES registry on April 6, 2021.

Where is Kent Kraus located?

Kent Kraus practices at 720 Eskenazi Ave Rm F2-163, Indianapolis, IN 46202. The listed phone number is (317) 278-5835.

What is Kent Kraus's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kent Kraus enrolled in Medicare?

Yes. Kent Kraus is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kent Kraus was last updated on April 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.