Individual provider Active NPI

Connor M Kriz, MD

  • Pediatrics Physician
  • Grand Rapids, MI
National Provider Identifier
1144859117
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
1144859117 Issued in MI
Practice address
733 Alger St SE
Grand Rapids, MI 49507-3530
Phone
(616) 243-9515
NPI assigned
Apr 2, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 1144859117 MI Primary

Addresses

Primary practice location

733 Alger St SE
Grand Rapids, MI 49507-3530

Mailing address

733 Alger St SE
Grand Rapids, MI 49507-3530
Phone (616) 243-9515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1144859117MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alger Pediatrics PC Pediatrics PastSince Jun 30, 2024 Accepting new patients
Spectrum Health Hospitals Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ckriz745056@direct.trinity-health.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1144859117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 ALGER ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495073530",
            "telephone_number": "616-243-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 ALGER ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495073530",
            "telephone_number": "616-243-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIZ",
        "first_name": "CONNOR",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-02",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "1144859117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.