DR. PAULA JEAN KRUPPSTADT MD
NPI 1144365487
Pediatrics in Shenandoah, TX
NPI Status: Active since February 21, 2007
Contact Information
150 PINE FOREST DR STE 701
SHENANDOAH, TX
ZIP 77384
Phone: (281) 725-6767
Fax: (888) 886-9009
- Individual
- Female
- Pediatrics
- Opted-Out Medicare
About PAULA KRUPPSTADT
This page provides the complete NPI Profile along with additional information for Paula Kruppstadt, a pediatrician established in Shenandoah, Texas with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1144365487 assigned on February 2007. The practitioner's primary taxonomy code is 208000000X with license number J1104 (TX). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1144365487
- Provider Name
- DR. PAULA JEAN KRUPPSTADT MD
- Other Name
- DR. PAULA JEAN LOCKHART MD
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 150 PINE FOREST DR STE 701 SHENANDOAH, TX 77384
- Location Phone
- (281) 725-6767
- Location Fax
- (888) 886-9009
- Mailing Address
- 150 PINE FOREST DR STE 701 SHENANDOAH, TX 77384
- Mailing Phone
- (281) 725-6767
- Mailing Fax
- (888) 886-9009
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-21-2007
- Last Update Date
- 05-11-2019
- Code Navigator
A pediatrician like Paula Kruppstadt is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Paula Kruppstadt opted out of Medicare effective on 04-01-2023 until 04-01-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- J1104
- License State
- TX
- Taxonomy Description
- 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.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 04-01-2023
Opt-Out End Date: 04-01-2027
Eligible to Order and Refer? No
Reviews for DR. PAULA JEAN KRUPPSTADT MD
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1144365487, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144365487, enumerated as an "individual" on February 21, 2007.
The provider is located at 150 PINE FOREST DR STE 701 SHENANDOAH, TX 77384 and the phone number is (281) 725-6767.
Pediatrics with taxonomy code 208000000X.
