Active NPI
Mikail Kraft, D.O.
- Pediatrics Physician
- Liberty, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2019024458
- Practice address
- 1540 NE 96TH St
Liberty, MO 64068-1316 - Phone
- (816) 412-2900
- NPI assigned
- Apr 6, 2016
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2019024458 | MO | Primary |
Addresses
Primary practice location
1540 NE 96TH St
Liberty, MO 64068-1316
Mailing address
1540 NE 96TH St
Liberty, MO 64068-1316
Phone (816) 412-2900
Other practice location 1
2401 Gillham Rd
Attn: GME-Jill Edwards Children's Mercy Hospital
Kansas City, MO 64108
Phone (402) 968-8650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- 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 |
|---|---|---|---|---|
| I20201006002808 | NE | Practitioner - Pediatric Medicine | 5395038582 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019024458 | MO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Clinic Inc | Pediatrics | Current | Accepting new patients |
| Nebraska Methodist Hospital | Current | Accepting new patients | |
| Priority Care Pediatrics, LLC Liberty | Pediatrics | Past | Accepting new patients |
| Priority Care Pediatrics, LLC | Pediatrics | Past | Accepting new patients |
Locations
20021 Manderson St
Elkhorn, NE 68022
Phone (402) 815-6600
717 N 190th Plz
Ste 3100
Elkhorn, NE 68022
Phone (402) 815-1325
11946 Standing Stone Dr
Gretna, NE 68028
Phone (402) 815-4500
8901 W Dodge Rd
Omaha, NE 68114
Phone (402) 354-8600
825 S 169th St
Fl 3
Omaha, NE 68118
Phone (402) 354-5451
5908 S 142nd St
Omaha, NE 68137
Phone (402) 354-1900
10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405
17675 Welch Plz
Omaha, NE 68135
Phone (402) 354-7600
16120 W Dodge Rd
Omaha, NE 68118
Phone (402) 354-0550
Interoperability endpoints
- mikail.kraft@direct.nmhs.org
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562803200000",
"number": "1922462944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 NE 96TH ST",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640681316",
"telephone_number": "816-412-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 NE 96TH ST",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640681316",
"telephone_number": "816-412-2900"
}
],
"practiceLocations": [
{
"address_1": "2401 Gillham Rd",
"address_2": "Attn: GME-Jill Edwards Children's Mercy Hospital",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "64108",
"country_code": "US",
"telephone_number": "402-968-8650",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRAFT",
"first_name": "MIKAIL",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-06",
"last_updated": "2019-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2019024458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Liberty, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.