Active NPI
Kristopher W Krannitz, DPM
- Foot & Ankle Surgery Podiatrist
- Cadillac, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 5901002174
- Practice address
- 8805 Pine Ridge Drive
Cadillac, MI 49601-2373 - Phone
- (231) 779-3668
- Fax
- (231) 779-4496
- NPI assigned
- Apr 24, 2007
- Last updated
- Mar 3, 2008
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 5901002174 | MI | |
| Radiology Podiatrist | 213ER0200X | 5901002174 | MI | |
| Sports Medicine Podiatrist | 213ES0000X | 5901002174 | MI | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 5901002174 | MI | Primary |
Addresses
Primary practice location
8805 Pine Ridge Drive
Cadillac, MI 49601-2373
Mailing address
8805 Pine Ridge Drive
Cadillac, MI 49601
Phone (231) 779-3668
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 144901 | Other | MI | PRIORITY HEALTH |
| 4858317570 | Other | MI | BLUE CROSS |
| 5175055 | Medicaid | MI | |
| 5175073 | Medicaid | MI |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8805 Pine Ridge Dr
Cadillac, MI 49601-7064
Phone (231) 779-3668
Hospital & facility affiliations
- Munson Healthcare Cadillac Hospital
- Munson Healthcare Manistee Hospital
- Paul Oliver Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 54 |
| Removal of skin lesions | 18 |
| Removal of nail tissue | 27 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5901002174 | MI | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arthur R Jeynes DPM PC | Foot & Ankle Surgery | Current | Accepting new patients |
| Brian D. Heeringa PC | Past | Accepting new patients |
Locations
8805 Pine Ridge Dr
Cadillac, MI 49601
Phone (231) 779-3668
1806 E Parkdale Ave
Manistee, MI 49660
Phone (231) 309-3668
1806 E Parkdale Ave
Ste 2
Manistee, MI 49660
Phone (231) 723-5479
Interoperability endpoints
- kristopher.krannitz@advfoot.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Foot & Ankle Surgery Podiatrist
- Cadillac, MI
- NPI 1184830234
-
dba Northern Michigan Vein Specialists
- Surgery Physician
- Traverse City, MI
- NPI 1023486867
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Munson Healthcare Cadillac Physician Network
- Family Medicine Physician
- Cadillac, MI
- NPI 1487051611
Hospital
-
- General Acute Care Hospital
- Cadillac, MI
- NPI 1841696754
-
- General Acute Care Hospital
- Manistee, MI
- NPI 1407949191
-
- Critical Access Hospital
- Frankfort, MI
- NPI 1427054360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204502400000",
"number": "1750509691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8805 PINE RIDGE DRIVE",
"city": "CADILLAC",
"state": "MI",
"postal_code": "49601",
"telephone_number": "231-779-3668",
"fax_number": "231-779-4496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8805 PINE RIDGE DRIVE",
"city": "CADILLAC",
"state": "MI",
"postal_code": "496012373",
"telephone_number": "231-779-3668",
"fax_number": "231-779-4496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRANNITZ",
"first_name": "KRISTOPHER",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2008-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MI",
"license": "5901002174",
"primary": false
},
{
"code": "213ER0200X",
"taxonomy_group": "",
"desc": "Podiatrist, Radiology",
"state": "MI",
"license": "5901002174",
"primary": false
},
{
"code": "213ES0000X",
"taxonomy_group": "",
"desc": "Podiatrist, Sports Medicine",
"state": "MI",
"license": "5901002174",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MI",
"license": "5901002174",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIORITY HEALTH",
"identifier": "144901",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "4858317570",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5175055",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5175073",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cadillac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.