Individual provider Active NPI

Jeremy William Cravens, MD

  • Colon & Rectal Surgery Physician
  • Overland Park, KS
National Provider Identifier
1134212913
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
2013029750 Issued in MO
Practice address
4370 W 109TH St
Suite 350
Overland Park, KS 66211-1361
Phone
(816) 941-0800
Fax
(816) 941-0080
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 04-36763 KS
Colon & Rectal Surgery Physician 208C00000X 2013029750 MO Primary

Addresses

Primary practice location

4370 W 109TH St
Suite 350
Overland Park, KS 66211-1361

Mailing address

6060 N Oak Trfy
Suite 101
Gladstone, MO 64118-5130
Phone (816) 941-0800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JEREMY.CRAVENS@hca2.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140113000948 MO Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 4880839257 Reassigns benefits to 1 organization
I20160513000139 KS Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 4880839257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
University of Missouri, Columbia School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Menorah Medical Group LLC 21 clinicians

Practice addresses (Care Compare)

4370 W 109TH St
Suite 350
Overland Park, KS 66211-1370
Phone (816) 941-0800

6060 N Oak Trfy
Suite 101
Gladstone, MO 64118-5189
Phone (816) 941-0800

Hospital & facility affiliations

  • Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104
  • Menorah Medical Center Hospital, Overland Park, KS, CCN 170182
  • Overland Park Reg Med Ctr Hospital, Overland Park, KS, CCN 170176
  • Centerpoint Medical Center Hospital, Independence, MO, CCN 260095

Merit-based Incentive Payment System (MIPS)

Final score
82.28 of 100Reported as group
Quality
78.53
Promoting interoperability
99
Improvement activities
40
Cost
63.24

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy45
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-36763KSMDColon & Rectal Surgery Physician
2013029750MOMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Menorah Medical Group, LLC CurrentSince Apr 10, 2017 Accepting new patients
Menorah Medical Group, LLC Past Accepting new patients

Locations

4370 W 109th St
Ste 350
Overland Park, KS 66211

5701 W 119th St
Ste 410
Overland Park, KS 66209
Phone (913) 345-3650

10100 W 87th St
Ste 200
Overland Park, KS 66212
Phone (816) 947-0800

6060 N Oak Trfy
Ste 101
Kansas City, MO 64118
Phone (816) 285-8479

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

Interoperability endpoints

  • Direct secure messaging: jeremy.cravens@hca2.eclinicaldirectplus.com

Organizations & group practices 2

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1134212913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 N OAK TRFY",
            "address_2": "SUITE 101",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641185130",
            "telephone_number": "816-941-0800",
            "fax_number": "816-941-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 W 109TH ST",
            "address_2": "SUITE 350",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111361",
            "telephone_number": "816-941-0800",
            "fax_number": "816-941-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAVENS",
        "first_name": "JEREMY",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "KS",
            "license": "04-36763",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MO",
            "license": "2013029750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JEREMY.CRAVENS@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4370 W 109th St",
            "address_2": "SUITE 350",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662111361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.