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DR. PAULA JEAN KRUPPSTADT MD
NPI 1144365487
Pediatrics in Shenandoah, TX

Active since February 21, 2007Opted out of Medicare · through Apr 1, 2027
150 PINE FOREST DR STE 701, SHENANDOAH, TX 77384(281) 725-6767(888) 886-9009 Get Directions Write a Review

NPPES record last updated: May 11, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Paula Jean Kruppstadt Md NPPES

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

DR. PAULA JEAN KRUPPSTADT MD (NPI 1144365487) is an individual pediatrics provider in Shenandoah, Texas, licensed in Texas (J1104) and active in the NPI registry since February 2007. She has opted out of Medicare through April 1, 2027.

NPPES Registry Identity

NPI1144365487
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. PAULA JEAN KRUPPSTADTCredential: MD
Location Address150 PINE FOREST DR STE 701Shenandoah, TX 77384-5317
Mailing Address150 Pine Forest Dr Ste 701Shenandoah, TX 77384-5317 · (281) 725-6767 · Fax (888) 886-9009
Phone(281) 725-6767
Fax(888) 886-9009
Sole ProprietorNo
Enumeration DateFebruary 21, 2007
Last NPPES UpdateMay 11, 2019
✔ NPI 1144365487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · J1104
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

150 PINE FOREST DR STE 701, Shenandoah, TX 77384
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Other Names 1

Former Name (1)Dr. Paula Jean Lockhart Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Paula Jean Kruppstadt Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2023 through April 1, 2027.

Opt-Out Effective DateApril 1, 2023
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Paula Kruppstadt's NPI number?

The NPI number for Paula Kruppstadt is 1144365487. It was assigned to this individual provider in the NPPES registry on February 21, 2007. The provider is also known as Dr. Paula Jean Lockhart MD.

Where is Paula Kruppstadt located?

Paula Kruppstadt practices at 150 Pine Forest Dr Ste 701, Shenandoah, TX 77384. The listed phone number is (281) 725-6767.

What is Paula Kruppstadt's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Paula Kruppstadt enrolled in Medicare?

No. Paula Kruppstadt has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Paula Kruppstadt was last updated on May 11, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.