DR. MATTHEW J KRASIN MD NPI 1972506046

NPI Information

NPI: 1972506046
Provider Name: DR. MATTHEW J KRASIN, MD
Classification: Radiology - 2085R0001X
Entity Type: Individual

Specialization: Radiation Oncology

PECOS Registration: Yes

Address:
262 DANNY THOMAS PL
MEMPHIS, TN
ZIP 38105
Phone: (901) 595-3006
Get Directions

DR. Matthew J Krasin, MD is a radiation oncology radiology in Memphis, TN. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. DR. Matthew J Krasin, MD NPI is 1972506046. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

262 DANNY THOMAS PL
MEMPHIS, TN
ZIP 38105-678
Phone: (901) 595-3006
Fax: (901) 595-3842

The NPI 1972506046 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/23/2005 and was last updated on 9/28/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0001X	Radiology	Radiation Oncology	34077	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	205028202	MEDICAID	MISSOURI
2	422400000	MEDICAID	MAINE
3	7611874	MEDICAID	NORTH CAROLINA
4	100507255	MEDICAID	NEVADA
5	200284430A	MEDICAID	INDIANA
6	629975	MEDICAID	ARIZONA
7	1430188	MEDICAID	LOUISIANA
8	100641230A	MEDICAID	KANSAS
9	H16958	MEDICARE UPIN	TENNESSEE
10	00122666	MEDICAID	MISSISSIPPI
11	140246001	MEDICAID	ARKANSAS
12	454775794-1	MEDICAID	ILLINOIS
13	3854868	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE	MEDICARE
14	0030899	MEDICAID	NEW JERSEY
15	009931440	MEDICAID	ALABAMA
16	0535161	MEDICAID	IOWA
17	2211574	MEDICARE ID-TYPE UNSPECIFIED	OHIO	OH MEDICAID
18	3854868	MEDICAID	TENNESSEE
19	64014202	MEDICAID	KENTUCKY
20	648674090A	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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