Active NPI
Javier Cremer, DO
- Facial Plastic Surgery Physician
- Merriam, KS
National Provider Identifier
1821376435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- 2011016837
- Practice address
- 8901 W 74TH St Ste 145
Merriam, KS 66204-2271 - Phone
- (913) 722-0020
- Fax
- (913) 362-0583
- NPI assigned
- Jul 31, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 036.140675 | IL | |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 2015016359 | KS | |
| Facial Plastic Surgery Physician | 207YS0123X | 2011016837 | MO | Primary |
Addresses
Primary practice location
8901 W 74TH St Ste 145
Merriam, KS 66204-2271
Mailing address
8901 W 74TH St Ste 145
Merriam, KS 66204-2271
Phone (913) 722-0020
Other practice location 1
5330 N Oak Trfy Ste 201
Kansas City, MO 64118-4600
Phone (816) 883-0666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200901002127 | ME | Practitioner - Otolaryngology | 3870801228 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Oklahoma State University College of Osteopathic Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
155 Rover River Pkwy
Portland, ME 04102-2779
Phone (207) 879-3000
175 Fore River Pkwy
Portland, ME 04102-2779
Phone (207) 879-3000
195 Fore River Pkwy
Suite 210
Portland, ME 04102-2783
Phone (207) 553-6500
40 Park Rd
Westbrook, ME 04092-3188
Phone (207) 857-8174
Hospital & facility affiliations
- Northern Light Mercy Hospital
- Mainehealth Maine Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.140675 | IL | MD | Otolaryngology Physician |
| 2011016837 | MO | MD | Facial Plastic Surgery Physician |
| 2015016359 | KS | MD | Otolaryngology/Facial Plastic Surgery Physician |
| 3147 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital | Current | Accepting new patients | |
| Mercy Hospital | Current | Accepting new patients | |
| Mercy Hospital | Past | Accepting new patients |
Locations
40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174
Organizations & group practices 3
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.
-
- Rural Health Clinic/Center
- Windham, ME
- NPI 1396496378
-
- General Acute Care Hospital
- Portland, ME
- NPI 1427313048
Hospital & facility affiliations 38
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": "1312070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1821376435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8901 W 74TH ST STE 145",
"city": "MERRIAM",
"state": "KS",
"postal_code": "662042271",
"telephone_number": "913-722-0020",
"fax_number": "913-362-0583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 W 74TH ST STE 145",
"city": "MERRIAM",
"state": "KS",
"postal_code": "662042271",
"telephone_number": "913-722-0020",
"fax_number": "913-362-0583"
}
],
"practiceLocations": [
{
"address_1": "5330 N Oak Trfy Ste 201",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641184600",
"country_code": "US",
"telephone_number": "816-883-0666",
"fax_number": "816-454-1694",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CREMER",
"first_name": "JAVIER",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-31",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IL",
"license": "036.140675",
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "KS",
"license": "2015016359",
"primary": false
},
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "MO",
"license": "2011016837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merriam, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.