Active NPI
Keith A Kronemer, MD
- Diagnostic Radiology Physician
- Richmond Heights, MO
National Provider Identifier
1700976347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 100078
- Practice address
- 29 Lake Forest Dr
Richmond Heights, MO 63117-1304 - Phone
- (314) 498-0640
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 100078 | MO | Primary |
| Pediatric Radiology Physician | 2085P0229X | 46837 | KY |
Addresses
Primary practice location
29 Lake Forest Dr
Richmond Heights, MO 63117-1304
Mailing address
29 Lake Forest Dr
Richmond Heights, MO 63117-1304
Phone (314) 498-0640
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
| License | State | Type | Specialty |
|---|---|---|---|
| 46837 | KY | MD | Pediatric Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403654400000",
"number": "1700976347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 LAKE FOREST DR",
"city": "RICHMOND HEIGHTS",
"state": "MO",
"postal_code": "631171304",
"telephone_number": "314-498-0640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 LAKE FOREST DR",
"city": "RICHMOND HEIGHTS",
"state": "MO",
"postal_code": "631171304",
"telephone_number": "314-498-0640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRONEMER",
"first_name": "KEITH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2014-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "100078",
"primary": true
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "KY",
"license": "46837",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond Heights, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.