Individual provider Active NPI

Mikail Kraft, D.O.

  • Pediatrics Physician
  • Liberty, MO
National Provider Identifier
1922462944
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2019024458 Issued in MO
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

Updated by the provider on Jul 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
2019024458MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Clinic Inc Pediatrics CurrentSince Nov 30, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.