Active NPI
Kevin Burke Cranmer, M.D.
- Ophthalmology Physician
- Norwich, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 044355
- Practice address
- 12 Case St Ste 215
Norwich, CT 06360-2222 - Phone
- (860) 373-4148
- Fax
- (860) 908-2353
- NPI assigned
- Apr 19, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 044355 | CT | Primary |
Addresses
Primary practice location
12 Case St Ste 215
Norwich, CT 06360-2222
Mailing address
12 Case St Ste 215
Norwich, CT 06360-2222
Phone (860) 373-4148
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001443556 | Medicaid | CT | |
| P00734658 | Other | CT | MEDICARE RAILROAD |
| 044355 | Other | CT | CONNECTICARE |
| 2679264 | Other | CT | UNITED HEALTHCARE |
| 3V1443 | Other | CT | HEALTHNET |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- 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
- Ophthalmology
- Education
- Harvard Medical School, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1041 Poquonnock Rd
Groton, CT 06340-4211
Phone (860) 373-4148
Hospital & facility affiliations
- Hartford Hospital
- Lawrence & Memorial Hospital
- William W Backus Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 54.62 of 100
- Quality
- 0
- Improvement activities
- 40
- Cost
- 79.15
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 334 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044355 | CT | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Connecticut Eye Care, LLC | Ophthalmology | Current | Accepting new patients |
Locations
25 Green Hollow Rd
Danielson, CT 06239
Phone (860) 373-4148
1041 Poquonnock Rd
Groton, CT 06340
Phone (860) 373-4148
12 Case St
Ste 215
Norwich, CT 06360
Phone (860) 373-4148
16 Walnut St
Willimantic, CT 06226
Phone (860) 373-4148
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 and National Provider Directory roles.
-
- Ophthalmology Physician
- Groton, CT
- NPI 1326568502
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1902834880
-
- General Acute Care Hospital
- New London, CT
- NPI 1073530879
-
- General Acute Care Hospital
- New London, CT
- NPI 1700092459
-
- General Acute Care Hospital
- Norwich, CT
- NPI 1467517235
-
- General Acute Care Hospital
- Norwich, CT
- NPI 1639135718
-
- Psychiatric Hospital Unit
- Norwich, CT
- NPI 1730243536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1790740934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 CASE ST STE 215",
"city": "NORWICH",
"state": "CT",
"postal_code": "063602222",
"telephone_number": "860-373-4148",
"fax_number": "860-908-2353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 CASE ST STE 215",
"city": "NORWICH",
"state": "CT",
"postal_code": "063602222",
"telephone_number": "860-373-4148",
"fax_number": "860-908-2353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRANMER",
"first_name": "KEVIN",
"middle_name": "BURKE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2023-03-06",
"certification_date": "2023-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CT",
"license": "044355",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001443556",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00734658",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "044355",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2679264",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "3V1443",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.