Individual provider Active NPI

Kristopher W Krannitz, DPM

  • Foot & Ankle Surgery Podiatrist
  • Cadillac, MI
National Provider Identifier
1750509691
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002174 Issued in MI
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
144901OtherMIPRIORITY HEALTH
4858317570OtherMIBLUE CROSS
5175055MedicaidMI
5175073MedicaidMI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070702000452 MI Practitioner - Podiatry 2264532365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arthur R Jeynes DPM PCGroup PAC ID 1658471743, 5 clinicians

Practice addresses (Care Compare)

8805 Pine Ridge Dr
Cadillac, MI 49601-7064
Phone (231) 779-3668

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue54
Removal of skin lesions18
Removal of nail tissue27
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901002174MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Arthur R Jeynes DPM PC Foot & Ankle Surgery CurrentSince Jul 23, 2007 Accepting new patients
Brian D. Heeringa PC PastSince Jul 23, 2007 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.