Michael L Kravetz, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

20238 Issued in AZ

Practice address

13460 N 67TH Ave
Glendale, AZ 85304-1000

Phone

(623) 878-8800

Fax

(623) 878-5254

NPI assigned

Jul 24, 2006

Last updated

Oct 23, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Michael L Kravetz, MD, PLC

  • Physical Medicine & Rehabilitation Physician
  • Glendale, AZ
  • NPI 1609112051
  Authorized official Same address or phone
• Northwest Family Chiropractic PC

  • Chiropractor
  • Puyallup, WA
  • NPI 1689728610
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1952323446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13460 N 67TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041000",
            "telephone_number": "623-878-8800",
            "fax_number": "623-878-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13460 N 67TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041000",
            "telephone_number": "623-878-8800",
            "fax_number": "623-878-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAVETZ",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "20238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048406",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0895230",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colleen M Kowalke, PSYD
• Michael Robert Kozlowski, O.D., PH.D.
• Gina S. Kozul
• Aaron Kramer, D.O.
• April Krause, N.D.
• Mary Kay Krawczyk, LCSW
• Kreative Solutions LLC
• Randall Scott Krebs, D.D.S.
• Morgan Kreifels, OTR/L
• Melissa Kreitner

• Physical Medicine & Rehabilitation Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Physical Medicine & Rehabilitation Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.

Verify at the official NPI Registry.