NPIMap

Individual provider Active NPI

Richard Cronemeyer

  • Diagnostic Radiology Physician
  • Mission, KS
National Provider Identifier
1356330427
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
R9887 Issued in MO
Practice address
5800 Foxridge Dr
Suite 240
Mission, KS 66202-2347
Phone
(913) 261-3153
Fax
(913) 262-3295
NPI assigned
Oct 20, 2005
Last updated
Aug 1, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X R9887 MO Primary
Diagnostic Radiology Physician 2085R0202X 04-07808 KS

Addresses

Primary practice location

5800 Foxridge Dr
Suite 240
Mission, KS 66202-2347

Mailing address

5800 Foxridge Dr
Suite 240
Mission, KS 66202-2347
Phone (913) 261-3153

Other identifiers 1

IdentifierTypeStateIssuer
100153490FMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-07808KSMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Encompass Medical Group, PA Diagnostic Radiology Past Accepting new patients
Medical Plaza Imaging Associates, LLC Diagnostic Radiology Past Accepting new patients
Alliance Radiology, PA Diagnostic Radiology Past Accepting new patients
Western Missouri Radiological Group Inc Diagnostic Radiology Past Accepting new patients
Northland Imaging, LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1356330427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 FOXRIDGE DR",
            "address_2": "SUITE 240",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662022347",
            "telephone_number": "913-261-3153",
            "fax_number": "913-262-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 FOXRIDGE DR",
            "address_2": "SUITE 240",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662022347",
            "telephone_number": "913-261-3153",
            "fax_number": "913-262-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRONEMEYER",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "R9887",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "04-07808",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100153490F",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.