Individual provider Active NPI

Jeffrey Alan Kreyer, M.D.

  • Surgery Physician
  • Iron Mountain, MI
National Provider Identifier
1689801102
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301104607 Issued in MI
Practice address
1711 S Stephenson Ave
Ste 305
Iron Mountain, MI 49801-3639
Phone
(906) 774-0330
Fax
(906) 774-0455
NPI assigned
Jun 11, 2009
Last updated
Dec 15, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301104607 MI Primary

Addresses

Primary practice location

1711 S Stephenson Ave
Ste 305
Iron Mountain, MI 49801-3639

Mailing address

N2541 Valley View Rd
Norway, MI 49870-2266
Phone (906) 774-0330

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
I20140625000454 MI Practitioner - General Surgery 2567687056 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Southern Illinois University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1721 S Stephenson Ave
Iron Mountain, MI 49801-3637
Phone (906) 774-1313

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy35
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301104607MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCHS Hospitals Inc Current Accepting new patients
Baraga County Memorial Hospital CurrentSince May 1, 2023 Accepting new patients
Baraga County Memorial Hospital Current Accepting new patients
Baraga County Memorial Hospital Current Accepting new patients
Dickinson County Healthcare System Surgery CurrentSince Oct 1, 2015 Accepting new patients
Osf Multi-Specialty Group CurrentSince Oct 1, 2019 Accepting new patients
Baraga County Memorial Hospital CurrentSince May 1, 2023 Accepting new patients
U P Otolaryngology PC Past Accepting new patients

Locations

2525 5th Ave S
Escanaba, MI 49829
Phone (906) 233-4276

1711 S Stephenson Ave
Ste 305
Iron Mountain, MI 49801
Phone (906) 774-0330

1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415

18341 US Highway 41
Lanse, MI 49946
Phone (906) 524-3300

Interoperability endpoints

  • Direct secure messaging: jeffrey.kreyer.1@22710.direct.athenahealth.com
  • Direct secure messaging: jeffrey.kreyer@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 8

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 1

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": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1689801102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N2541 VALLEY VIEW RD",
            "city": "NORWAY",
            "state": "MI",
            "postal_code": "498702266",
            "telephone_number": "906-774-0330",
            "fax_number": "906-774-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 S STEPHENSON AVE",
            "address_2": "STE 305",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498013639",
            "telephone_number": "906-774-0330",
            "fax_number": "906-774-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREYER",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-11",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301104607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iron Mountain, MI

Sources for this page

Verify at the official NPI Registry.