Individual provider Active NPI

Craig I Schwartz, D.O., FACOS, FICS

  • Vascular Surgery Physician
  • Kansas City, MO
National Provider Identifier
1780689810
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
2003012657 Issued in MO
Practice address
1300 E 104TH St
Ste 150
Kansas City, MO 64131-4561
Phone
(913) 451-8346
Fax
(913) 451-8347
NPI assigned
Jun 15, 2005
Last updated
Apr 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 2003012657 MO Primary
Vascular Surgery Physician 2086S0129X 05-30131 KS

Addresses

Primary practice location

1300 E 104TH St
Ste 150
Kansas City, MO 64131-4561

Mailing address

1300 E 104TH St
Ste 150
Kansas City, MO 64131-4561
Phone (913) 451-8346

Other identifiers 2

IdentifierTypeStateIssuer
32801024OtherKSBC/BS OF K.C. PROVIDER #
05-30131OtherKSKS STATE LICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20200510000035 MO Practitioner - Vascular Surgery 6305828625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Philadelphia College of Osteopathic Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1300 E 104TH St
Suite 150
Kansas City, MO 64131-4561
Phone (913) 451-8346

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
009301PAMDProfessional Counselor
2003012657MOMDVascular Surgery Physician

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1780689810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E 104TH ST",
            "address_2": "STE 150",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314561",
            "telephone_number": "913-451-8346",
            "fax_number": "913-451-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E 104TH ST",
            "address_2": "STE 150",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314561",
            "telephone_number": "913-451-8346",
            "fax_number": "913-451-8347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "CRAIG",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "D.O., FACOS, FICS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MO",
            "license": "2003012657",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "KS",
            "license": "05-30131",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF K.C. PROVIDER #",
            "identifier": "32801024",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KS STATE LICENSE #",
            "identifier": "05-30131",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.