Individual provider Active NPI

Mariah L Crumbaker, M.D.

  • Family Medicine Physician
  • Salina, KS
National Provider Identifier
1225327539
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0439133 Issued in KS
Practice address
651 E Prescott Rd
Salina, KS 67401-7408
Phone
(785) 825-7251
Fax
(785) 827-3208
NPI assigned
Apr 7, 2011
Last updated
Nov 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0439133 KS Primary

Addresses

Primary practice location

651 E Prescott Rd
Salina, KS 67401-7408

Mailing address

651 E Prescott Rd
Salina, KS 67401-7408
Phone (785) 825-7251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20160826002388 KS Practitioner - Family Practice 6204058084 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2676 Planet Ave
Salina, KS 67401-7604
Phone (785) 823-3937

651 E Prescott Rd
Salina, KS 67401-7408
Phone (785) 825-7251

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beloit Medical Center, P.a. Family Medicine CurrentSince Sep 1, 2016 Accepting new patients
Salina Health Education Foundation Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
Salina Health Education Foundation CurrentSince Jul 1, 2022 Accepting new patients
Salina Regional Health Center, Inc Past Accepting new patients
Salina Health Education Foundation Past Accepting new patients

Locations

1005 N Lincoln Ave
Beloit, KS 67420
Phone (785) 738-2246

2676 Planet Ave
Salina, KS 67401
Phone (785) 823-3937

651 E Prescott Rd
Salina, KS 67401
Phone (785) 825-7251

Interoperability endpoints

  • Direct secure messaging: mariah.crumbaker.1@14134.direct.athenahealth.com
  • Direct secure messaging: mariahcrumbaker@bmc.allscriptsdirect.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.

Hospital & facility affiliations 4

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": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1225327539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 E PRESCOTT RD",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674017408",
            "telephone_number": "785-825-7251",
            "fax_number": "785-827-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 E PRESCOTT RD",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674017408",
            "telephone_number": "785-825-7251",
            "fax_number": "785-827-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMBAKER",
        "first_name": "MARIAH",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-07",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0439133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.