Individual provider Active NPI

Jeffrey Scot Krivit, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Cedar Rapids, IA
National Provider Identifier
1225087281
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
27258 Issued in IA
Practice address
202 10TH Street SE
Cedar Rapids, IA 52403-2404
Phone
(319) 399-2022
Fax
(319) 399-2014
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 27258 IA Primary

Addresses

Primary practice location

202 10TH Street SE
Cedar Rapids, IA 52403-2404

Mailing address

PO Box 3178
Cedar Rapids, IA 52406-3178
Phone (319) 398-1583

Other identifiers 1

IdentifierTypeStateIssuer
56556OtherIABLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20220405000034 CO Practitioner - Otolaryngology 3870496953 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27258IAMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspen Valley Hospital Clinics, PLLC Current Accepting new patients
Aspen Valley Hospital District CurrentSince Apr 15, 2022 Accepting new patients
Aspen Valley Hospital District CurrentSince Apr 15, 2022 Accepting new patients
Aspen Valley Hospital District Clinics CurrentSince Apr 15, 2022 Accepting new patients
Eastern Iowa Sleep Center, LLC PastSince Feb 1, 2016 Accepting new patients

Locations

401 Castle Creek Rd
Aspen, CO 81611
Phone (970) 544-1192

Interoperability endpoints

  • FHIR API: https://epicproxy.et1254.epichosted.com/FHIRProxy/api/FHIR/R4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1225087281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3178",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524063178",
            "telephone_number": "319-398-1583",
            "fax_number": "319-399-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 10TH STREET SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032404",
            "telephone_number": "319-399-2022",
            "fax_number": "319-399-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIVIT",
        "first_name": "JEFFREY",
        "middle_name": "SCOT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "IA",
            "license": "27258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "56556",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.