Active NPI
Craig Thomas Kuesel, D.O.
- Neurology Physician
- Traverse City, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 5101009105
- 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, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114231632 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101009105 | MI | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Medical Center | Current | Accepting new patients | |
| Munson Medical Center | Neurology | Current | Accepting new patients |
| Munson Medical Center | Neurology | Current | Accepting new patients |
| Munson Medical Center | Current | 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
- 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.
-
dba Endocrinology and Metabolism
- Endocrinology, Diabetes & Metabolism Physician
- Traverse City, MI
- NPI 1083761860
-
dba Munson Healthcare Neurology - Traverse City
- Neurology Physician
- Traverse City, MI
- NPI 1326645698
-
- Psychiatric Hospital Unit
- Traverse City, MI
- NPI 1891586103
-
- Neurology Physician
- Grand Rapids, MI
- NPI 1295792026
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.