Active NPI
Kenneth D Kreitel, MD
- Diagnostic Radiology Physician
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 4301102231
- Practice address
- 1535 Gull Rd Ste 200
Kalamazoo, MI 49048 - Phone
- (269) 388-6350
- NPI assigned
- May 3, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 4301102231 | MI | Primary |
Addresses
Primary practice location
1535 Gull Rd Ste 200
Kalamazoo, MI 49048
Mailing address
1535 Gull Rd Ste 200
Kalamazoo, MI 49048-1638
Phone (269) 388-6350
Other practice location 1
1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone (269) 388-6350
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Cincinnati College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone (269) 226-5165
1541 Gull Rd
Kalamazoo, MI 49048-1644
Phone (269) 381-7380
7901 Angling Rd
Portage, MI 49024-0714
Hospital & facility affiliations
- Borgess Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301102231 | MI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Borgess Hospital | Diagnostic Radiology | Current | Accepting new patients |
| Ascension Borgess Lee Hospital | Current | Accepting new patients | |
| Promed Healthcare | Current | Accepting new patients | |
| Ascension Borgess Lee Hospital | Diagnostic Radiology | Current | Accepting new patients |
| Ascension Borgess Hospital | Current | Accepting new patients | |
| Ascension Borgess Hospital | Current | Accepting new patients | |
| Ascension Medical Group Promed | Current | Accepting new patients |
Locations
3180 Solutions Ctr
Chicago, IL 60677
420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681
1541 Gull Rd
Ste 200
Kalamazoo, MI 49048
Phone (269) 343-1264
1535 Gull Rd
Ste 200
Kalamazoo, MI 49048
Phone (269) 388-6350
1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165
7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1568416311
-
- Family Medicine Physician
- Portage, MI
- NPI 1497709869
-
- Critical Access Hospital
- Dowagiac, MI
- NPI 1194771030
-
- Cardiovascular Disease Physician
- Kalamazoo, MI
- NPI 1306976204
-
- Diagnostic Radiology Physician
- Kalamazoo, MI
- NPI 1518753441
-
- Hospitalist Physician
- Dowagiac, MI
- NPI 1467315499
Diagnostic Radiology
-
- Rural Health Clinic/Center
- Plainwell, MI
- NPI 1487708830
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1568416311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540252800000",
"number": "1750503181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1535 GULL RD STE 200",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490481638",
"telephone_number": "269-388-6350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1535 GULL RD STE 200",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "49048",
"telephone_number": "269-388-6350"
}
],
"practiceLocations": [
{
"address_1": "1521 Gull Rd",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490481640",
"country_code": "US",
"telephone_number": "269-388-6350",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KREITEL",
"first_name": "KENNETH",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2018-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301102231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.