NPIMap

Individual provider Active NPI

Craig Alan Concannon, M.D.

  • Internal Medicine Physician
  • Beloit, KS
National Provider Identifier
1891764676
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21286 Issued in KS
Practice address
1005 N Lincoln Ave
Beloit, KS 67420-1215
Phone
(785) 738-2246
Fax
(785) 738-4303
NPI assigned
Mar 15, 2006
Last updated
Mar 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21286 KS Primary

Addresses

Primary practice location

1005 N Lincoln Ave
Beloit, KS 67420-1215

Mailing address

PO Box 587
Beloit, KS 67420-0587
Phone (785) 738-2246

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address craigconcannon@bmc.allscriptsdirect.net Direct BELOIT MEDICAL CENTER, P.A.
Direct Messaging Address HIM@mchhs.cernerdirect.com Direct Mitchell County Hospital Health Systems

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050513000431 KS Practitioner - Internal Medicine 5193625861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1984
Medicare assignment
May accept Medicare assignment
Group practices
Beloit Medical Center, P.a.Group PAC ID 5496655169, 9 clinicians

Practice addresses (Care Compare)

1005 N Lincoln Ave
Beloit, KS 67420-1215
Phone (785) 738-2246

PO Box
587 Beloit Medical Center PA
Beloit, KS 67420-0587

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21286KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beloit Medical Center, P.a. Internal Medicine CurrentSince Jul 14, 1993 Accepting new patients
Mitchell County Hospital Health Systems Past Accepting new patients
Mitchell County Hospital Health Systems Past Accepting new patients
Hilltop Lodge Health and Rehabilitation Center LLC Past Accepting new patients

Locations

1005 N Lincoln Ave
Beloit, KS 67420
Phone (785) 738-2246

400 W 8th St
Beloit, KS 67420
Phone (785) 738-2266

620 Morgan Ave
Downs, KS 67437
Phone (785) 454-3831

903 Morgan Ave
Downs, KS 67437
Phone (785) 454-3311

302 E 1st St
Glasco, KS 67445
Phone (785) 568-2500

Interoperability endpoints

  • Direct secure messaging: craig.concannon@khindirect.org
  • Direct secure messaging: craigconcannon@bmc.allscriptsdirect.net
  • FHIR API: https://fhir-myrecord.cerner.com/r4/6c22a45f-4292-4a09-83f4-40d88482c128/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hilltop Lodge Health and Rehabilitation CenterBeloit, KS, CCN 175348 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 28, 2025
Jun 10, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1891764676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 587",
            "city": "BELOIT",
            "state": "KS",
            "postal_code": "674200587",
            "telephone_number": "785-738-2246",
            "fax_number": "785-738-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N LINCOLN AVE",
            "city": "BELOIT",
            "state": "KS",
            "postal_code": "674201215",
            "telephone_number": "785-738-2246",
            "fax_number": "785-738-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCANNON",
        "first_name": "CRAIG",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "21286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "craigconcannon@bmc.allscriptsdirect.net",
            "affiliation": "Y",
            "endpointDescription": "Beloit Medical Center, PA",
            "affiliationName": "BELOIT MEDICAL CENTER, P.A.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1005 N Lincoln Ave",
            "city": "Beloit",
            "state": "KS",
            "country_code": "US",
            "postal_code": "674201215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HIM@mchhs.cernerdirect.com",
            "affiliation": "Y",
            "endpointDescription": "Mitchell County Hospital",
            "affiliationName": "Mitchell County Hospital Health Systems",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "400 West 8th Street",
            "city": "Beloit",
            "state": "KS",
            "country_code": "US",
            "postal_code": "674200399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beloit, KS

Sources for this page

Verify at the official NPI Registry.