NPIMap

Individual provider Active NPI

Michael Kreis, DO

  • Adult Medicine Physician
  • Lebanon, MO
National Provider Identifier
1881257343
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
2024044855 Issued in MO
Practice address
120 Hospital Dr Ste 100
Lebanon, MO 65536-9227
Phone
(417) 533-6751
Fax
(417) 533-6755
NPI assigned
Apr 19, 2019
Last updated
Jan 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101025946 MI
Adult Medicine Physician 207QA0505X 2024044855 MO Primary

Addresses

Primary practice location

120 Hospital Dr Ste 100
Lebanon, MO 65536-9227

Mailing address

120 Hospital Dr Ste 100
Lebanon, MO 65536-9227
Phone (417) 533-6751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220825002195 TN Practitioner - Family Practice 5597153353 Reassigns benefits to 2 organizations
I20241231003292 MO Practitioner - Family Practice 5597153353 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians
Mercy Southern Missouri Ambulatory Services LLCGroup PAC ID 5193089621, 32 clinicians

Practice addresses (Care Compare)

120 Hospital Dr
Lebanon, MO 65536-9227

120 Hospital Dr
Lebanon, MO 65536-9230
Phone (417) 820-5750

1605 Martin Springs Dr
Rolla, MO 65401-2980

2150 W Republic Rd
112 Mercy GH Urgent Care SW Springfield
Springfield, MO 65807-6056
Phone (417) 986-1291

303 W Sunshine St
Mercy Gohealth Urgent Care W Sunshine
Springfield, MO 65807-2656
Phone (417) 986-0452

3233 E Sunshine St
100 Mercy Gohealth Urgent Care E Sunshine
Springfield, MO 65804-2106
Phone (417) 812-8149

900 E Battlefield St
124 Mercy GH Urgent Care E Battlefield
Springfield, MO 65807-5208
Phone (417) 986-1289

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.45 of 100Reported as group
Quality
42.88
Promoting interoperability
77
Improvement activities
40
Cost
74.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4750TNMDClinical Social Worker
5101025946MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities Single Specialty CurrentSince Oct 27, 2024 Accepting new patients
Maury Regional Medical Group, Inc Single Specialty CurrentSince Aug 15, 2022 Accepting new patients
Mercy Clinic Springfield Communities Single Specialty CurrentSince Oct 27, 2024 Accepting new patients
Southeastern Emergency Physicians LLC Single Specialty CurrentSince Oct 22, 2023 Accepting new patients
Maury Regional Hospital Marshall Medical Center CurrentSince Aug 15, 2022 Accepting new patients
Mercy Southern Missouri Ambulatory Services LLC Single Specialty CurrentSince Oct 27, 2025 Accepting new patients
Mercy Clinic Springfield Communities Single Specialty CurrentSince Oct 27, 2024 Accepting new patients

Locations

120 Hospital Dr
Ste 100
Lebanon, MO 65536
Phone (417) 533-6751

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

2150 W Republic Rd
Ste 112
Springfield, MO 65807
Phone (417) 986-1291

854 W James M Campbell Blvd
Ste 303
Columbia, TN 38401
Phone (931) 388-8779

617 W Main St
Hohenwald, TN 38462
Phone (931) 796-4901

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

103 Jv Mangubat Dr
Waynesboro, TN 38485
Phone (931) 722-3404

Organizations & group practices 7

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1881257343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HOSPITAL DR STE 100",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655369227",
            "telephone_number": "417-533-6751",
            "fax_number": "417-533-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HOSPITAL DR STE 100",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655369227",
            "telephone_number": "417-533-6751",
            "fax_number": "417-533-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREIS",
        "first_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-19",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101025946",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MO",
            "license": "2024044855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, MO

Sources for this page

Verify at the official NPI Registry.