Active NPI
Crestin Sherif Skoukry Andrews, DO
- Psychiatry Physician
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2020018561
- Practice address
- 1 Hospital Dr
Columbia, MO 65212-1000 - Phone
- (573) 882-8907
- Fax
- (573) 884-1070
- NPI assigned
- Jun 26, 2020
- Last updated
- Jun 26, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2020018561 | MO | Primary |
Addresses
Primary practice location
1 Hospital Dr
Columbia, MO 65212-1000
Mailing address
1 Hospital Dr
Columbia, MO 65212-1000
Phone (573) 882-8907
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6626 E 75TH St
Suite 500
Indianapolis, IN 46250-2890
Merit-based Incentive Payment System (MIPS)
- Final score
- 34.85 of 100
- Quality
- 21.4
- Improvement activities
- 0
- Cost
- 76.92
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Network, Inc | Current | Accepting new patients | |
| Community Health Network, Inc | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Community Howard Regional Health Inc | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Genesis Health System | Past | Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
205 N Jackson St
Frankfort, IN 46041
Phone (765) 659-4771
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
6950 Hillsdale Ct
Indianapolis, IN 46250
Phone (317) 621-7533
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
7150 Clearvista Dr
Indianapolis, IN 46256
Phone (317) 355-5041
7165 Clearvista Way
Indianapolis, IN 46256
Phone (317) 621-5100
3500 S Lafountain St
Kokomo, IN 46902
Phone (765) 453-0702
Interoperability endpoints
- candrews655914@ecommunitydirect.com
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1336119478
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kokomo, IN
- NPI 1881947133
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
dba Community Fairbanks Behavioral Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Indianapolis, IN
- NPI 1265477632
-
dba Community Physician Network
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
-
dba Genesis Medical Center Davenport
- General Acute Care Hospital
- Davenport, IA
- NPI 1972542264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593129600000",
"number": "1568089589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOSPITAL DR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652121000",
"telephone_number": "573-882-8907",
"fax_number": "573-884-1070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOSPITAL DR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652121000",
"telephone_number": "573-882-8907",
"fax_number": "573-884-1070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "CRESTIN",
"middle_name": "SHERIF SKOUKRY",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-26",
"last_updated": "2020-06-26",
"certification_date": "2020-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "2020018561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.