Individual provider Active NPI

Johanna R Krebiehl, M.D.

  • Plastic Surgery Physician
  • Grand Rapids, MI
National Provider Identifier
1487967733
Registry record updated Nov 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
4301096903 Issued in MI
Practice address
221 Michigan St NE
Grand Rapids, MI 49503-2543
Phone
(248) 703-5269
NPI assigned
Jul 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 4301096903 MI Primary

Addresses

Primary practice location

221 Michigan St NE
Grand Rapids, MI 49503-2543

Mailing address

341 Hobart St SE
Grand Rapids, MI 49507-3140
Phone (248) 703-5269

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20171005000619 MI Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 0042449811 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
Wayne State University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Health HospitalsGroup PAC ID 8921904764, 161 clinicians
Plastic Surgery Associates PCGroup PAC ID 1456300300, 3 clinicians

Practice addresses (Care Compare)

100 Michigan Ave NE
Grand Rapids, MI 49503-2560
Phone (616) 391-1774

100 Michigan St Northeast
Corewell Health Grand Rapids Hospit
Grand Rapids, MI 49503-2560
Phone (616) 391-1774

220 Lyon St NW
Suite 700
Grand Rapids, MI 49503-2210
Phone (616) 451-4500

275 Michigan St NE
Grand Rapids, MI 49503-2531
Phone (616) 391-3777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as group
Quality
85.52
Promoting interoperability
100
Improvement activities
40
Cost
57.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Hospital CurrentSince Aug 22, 2024 Accepting new patients
Metropolitan Hospital CurrentSince Aug 22, 2024 Accepting new patients
Spectrum Health Hospitals CurrentSince Aug 15, 2018 Accepting new patients
Spectrum Health Hospitals CurrentSince Aug 15, 2018 Accepting new patients
Plastic Surgery Associates PC Plastic Surgery CurrentSince Sep 11, 2017 Accepting new patients

Locations

220 Lyon St NW
Ste 700
Grand Rapids, MI 49503
Phone (616) 451-4500

275 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 267-7900

221 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1405

100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680

330 Barclay Ave NE
Ste 104
Grand Rapids, MI 49503
Phone (616) 267-9823

781 36th St SE
Wyoming, MI 49548
Phone (616) 252-4100

5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243

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.

Hospital & facility affiliations 3

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": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447200000000",
    "number": "1487967733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 HOBART ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495073140",
            "telephone_number": "248-703-5269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 MICHIGAN ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032543",
            "telephone_number": "248-703-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREBIEHL",
        "first_name": "JOHANNA",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-15",
        "last_updated": "2015-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MI",
            "license": "4301096903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.