Individual provider Active NPI

Craig Steven Ostrander, DO

  • Family Medicine Physician
  • Lees Summit, MO
National Provider Identifier
1174834360
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2013032874 Issued in MO
Practice address
4031 NE Lakewood Way Ste 100
Lees Summit, MO 64064-1703
Phone
(816) 944-3761
Fax
(816) 272-2823
NPI assigned
Jun 23, 2010
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Feb 1, 2017 through Feb 1, 2027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Family Care, LLC Family Medicine Current Accepting new patients

Locations

4031 NE Lakewood Way
Ste 100
Lees Summit, MO 64064
Phone (816) 795-1881

517 SE 2nd St
Ste A
Lees Summit, MO 64063

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2013032874 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

4031 NE Lakewood Way Ste 100
Lees Summit, MO 64064-1703

Mailing address

4031 NE Lakewood Way Ste 100
Lees Summit, MO 64064-1703
Phone (816) 944-3761

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 28, 2023.

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1174834360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4031 NE LAKEWOOD WAY STE 100",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641703",
            "telephone_number": "816-944-3761",
            "fax_number": "816-272-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 NE LAKEWOOD WAY STE 100",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641703",
            "telephone_number": "816-944-3761",
            "fax_number": "816-272-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTRANDER",
        "first_name": "CRAIG",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-23",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2013032874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

Verify at the official NPI Registry.