Individual provider Active NPI

Kenneth R Kreisler, MD

  • Anesthesiology Physician
  • Hays, KS
National Provider Identifier
1902908148
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
04-29650 Issued in KS
Practice address
2220 Canterbury Dr
Hays, KS 67601-2370
Phone
(785) 623-2254
NPI assigned
Sep 1, 2006
Last updated
May 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 04-29650 KS Primary

Addresses

Primary practice location

2220 Canterbury Dr
Hays, KS 67601-2370

Mailing address

2220 Canterbury Dr
Hays, KS 67601-2370
Phone (785) 623-2254

Other identifiers 4

IdentifierTypeStateIssuer
503940OtherKSFIRSTGUARD
100419450AMedicaidKS
31141013OtherMOBCBS KANSAS CITY
205849607MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100817000534 KS Practitioner - Anesthesiology 4284768953 Reassigns benefits to 1 organization
I20220520001300 IN Practitioner - Anesthesiology 4284768953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Nevada School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hays Medical Center IncGroup PAC ID 1557279676, 188 clinicians

Practice addresses (Care Compare)

2220 Canterbury Dr
Hays, KS 67601-2370
Phone (785) 625-4699

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.72 of 100Reported as apm
Quality
68.82
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-29650KSMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hays Medical Center, Inc CurrentSince Aug 1, 2022 Accepting new patients
Hays Medical Center, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Hays Medical Center, Inc. Current Accepting new patients
Iceland Anesthesia Management, LLC Anesthesiology CurrentSince Feb 18, 2022 Accepting new patients
University of Kansas Physicians Anesthesiology Past Accepting new patients
Hays Medical Center, Inc. Past Accepting new patients

Locations

801 S Main St
Clinton, IN 47842
Phone (765) 832-1212

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

1421 N 7th St
Terre Haute, IN 47807
Phone (812) 231-4604

2220 Canterbury Dr
Hays, KS 67601
Phone (785) 623-5000

Organizations & group practices 6

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 1

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1902908148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 CANTERBURY DR",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012370",
            "telephone_number": "785-623-2254",
            "fax_number": "913-588-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 CANTERBURY DR",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012370",
            "telephone_number": "785-623-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREISLER",
        "first_name": "KENNETH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KS",
            "license": "04-29650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTGUARD",
            "identifier": "503940",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100419450A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KANSAS CITY",
            "identifier": "31141013",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205849607",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hays, KS

Sources for this page

Verify at the official NPI Registry.