MARK M KRAKAUER MD
NPI 1679620470
Internal Medicine in Nashville, TN

Q: What is Mark Krakauer's NPI number?

The NPI number for Mark Krakauer is 1679620470. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Q: What is Mark Krakauer's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Krakauer was last updated on May 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 04, 2007PECOS EnrolledAccepts Medicare Assignment

4230 HARDING RD, SUITE 400, NASHVILLE, TN 37205(615) 297-2700(615) 269-4584 Get Directions Write a Review

NPPES record last updated: May 12, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mark M Krakauer Md NPPES

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

MARK M KRAKAUER MD (NPI 1679620470) is an individual internal medicine provider in Nashville, Tennessee, licensed in Tennessee (42728) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and is a graduate of Eastern Virginia Medical School (2004).

NPPES Registry Identity

NPI1679620470

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMARK M KRAKAUERCredential: MD

Location Address4230 HARDING RD, SUITE 400Nashville, TN 37205-2013

Mailing Address104 Woodmont Blvd, Suite Ll50Nashville, TN 37205-2245 · (615) 386-2300 · Fax (615) 386-2399

Phone(615) 297-2700

Fax(615) 269-4584

Sole ProprietorNo

Medical School CMSEastern Virginia Medical SchoolGraduated 2004

Enumeration DateJanuary 4, 2007

Last NPPES UpdateMay 12, 2015

✔ NPI 1679620470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TN · 42728

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X · License 42728 (TN)

4230 HARDING RD, Nashville, TN 37205

Open in Google Maps ↗

Other Identifiers 14

Other4191997TN · Blue Cross

Medicaid7100077090KY

Other5537973TN · Cigna

OtherP00634255TN · Medicare Rr

Other12702776TN · Phcs/multiplan

Other2904149TN · United Health Care

Medicare PIN103I119238TN

Other9726151TN · Aetna

Other1920691TN · Coventry

Medicare PIN3001826TN

Other01228364TN · Amerigroup Tncare Only

Other1100835730TN · Usa Ppo/geha

Medicaid1507300TN

Other1103297TN · Usa Mco

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark M Krakauer Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951474196

PECOS Enrollment IDI20080721000512

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.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

186 services166 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

184 services184 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

182 services182 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

180 services143 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

162 services162 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

161 services161 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

147 services101 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

47 services46 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

45 services44 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

25 services25 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

12 services12 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

11 services11 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

11 services11 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440039

Location1211 Medical Center DriveNashville, TN 37232 · Davidson County

Emergency services Birthing friendly

Ascension Saint Thomas Hospital

Acute Care Hospitals · Nashville, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440082

Location4220 Harding Rd, PO Box 380Nashville, TN 37205 · Davidson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Male external catheter, with or without adhesive, disposable, each A4349

DME-Medical/Surgical Supplies · category DA000N

1 supplier12 claims420 services$1.78 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

1 supplier12 claims360 services$4.94 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

RICHARD C TOMICHEK M.D.

Anesthesiology

4230 HARDING RD, SUITE 435
NASHVILLE, TN 37205

Davidson County (615) 385-3704

GARY R. MCDONALD M.D.

Internal Medicine

4230 HARDING RD, SUITE 400
NASHVILLE, TN 37205

Davidson County (615) 297-2700

LAWRENCE W FREUND D.O.

Anesthesiology (Critical Care Medicine)

4230 HARDING RD, SUITE 435
NASHVILLE, TN 37205

Davidson County (615) 385-3704

TIMOTHY D DIBBLE MD

Internal Medicine

4230 HARDING RD, SUITE 400
NASHVILLE, TN 37205

Davidson County (615) 297-2700

H. DOUGLAS HOLLIDAY MD PLLC

Internal Medicine

4230 HARDING RD, STE. 530 HEART INSTITUTE
NASHVILLE, TN 37205

Davidson County (615) 297-6006

ASA CLYDE HEFLIN M.D.

Internal Medicine (Pulmonary Disease)

4230 HARDING RD, SUITE 400
NASHVILLE, TN 37205

Davidson County (615) 297-2700

MS. SUSAN ST ROMAIN ANDERSON CRNA

Nurse Anesthetist, Certified Registered

4230 HARDING RD, SUITE 435
NASHVILLE, TN 37205

Davidson County (615) 385-3704

NEWTON P. ALLEN JR. M.D.

Internal Medicine

4230 HARDING RD, SUITE 400
NASHVILLE, TN 37205

Davidson County (615) 297-2700

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 Mark Krakauer's NPI number?

The NPI number for Mark Krakauer is 1679620470. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Mark Krakauer located?

Mark Krakauer practices at 4230 Harding Rd Suite 400, Nashville, TN 37205. The listed phone number is (615) 297-2700.

What is Mark Krakauer's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mark Krakauer enrolled in Medicare?

Yes. Mark Krakauer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mark Krakauer accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Mark Krakauer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mark Krakauer affiliated with any hospitals?

According to CMS data, Mark Krakauer is affiliated with Vanderbilt University Medical Center and Ascension Saint Thomas Hospital.

When was this NPI record last updated?

The NPPES record for Mark Krakauer was last updated on May 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.