Individual provider Active NPI

Craig Thomas Kuesel, D.O.

  • Neurology Physician
  • Traverse City, MI
National Provider Identifier
1013925080
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
5101009105 Issued in MI
Practice address
3922 Cedar Run Rd
Traverse City, MI 49684-9687
Phone
(231) 392-0430
Fax
(231) 935-3438
NPI assigned
Aug 4, 2006
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 5101009105 MI Primary

Addresses

Primary practice location

3922 Cedar Run Rd
Traverse City, MI 49684-9687

Mailing address

1105 Sixth St
Traverse City, MI 49684-2345
Phone (231) 935-5000

Other practice location 1

3537 W Front St
Ste A
Traverse City, MI 49684-7941
Phone (231) 935-9700

Other practice location 2

3865 W Front St Ste 4
Traverse City, MI 49684-8102
Phone (231) 642-5701

Other identifiers 1

IdentifierTypeStateIssuer
114231632MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address craig.kuesel@dkms.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120629000546 MI Practitioner - Neurology 7911162664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101009105MIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Center Current Accepting new patients
Munson Medical Center Neurology CurrentSince Jul 7, 2014 Accepting new patients
Munson Medical Center Neurology Current Accepting new patients
Munson Medical Center CurrentSince Jul 7, 2014 Accepting new patients
Neurological Associates of West Mi, PC Neurology Past Accepting new patients

Locations

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000

3537 W Front St
Ste A
Traverse City, MI 49684
Phone (231) 935-2525

3865 W Front St
Ste 4
Traverse City, MI 49684
Phone (231) 642-5701

3922 Cedar Run Rd
Traverse City, MI 49684
Phone (231) 392-0430

Interoperability endpoints

  • Direct secure messaging: ckuesel@direct.mhc.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1013925080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 SIXTH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842345",
            "telephone_number": "231-935-5000",
            "fax_number": "231-935-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3922 CEDAR RUN RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496849687",
            "telephone_number": "231-392-0430",
            "fax_number": "231-935-3438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3537 W Front St",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496847941",
            "country_code": "US",
            "telephone_number": "231-935-9700",
            "fax_number": "231-935-9706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3865 W Front St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496848102",
            "country_code": "US",
            "telephone_number": "231-642-5701",
            "fax_number": "231-935-5706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUESEL",
        "first_name": "CRAIG",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "5101009105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114231632",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "craig.kuesel@dkms.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3537 W Front St",
            "address_2": "Ste A",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496847941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.