Active NPI
Kraig Jason Lage, M.D.
- Diagnostic Radiology Physician
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 2010025679
- Practice address
- 1 Hospital Dr
Columbia, MO 65212-0001 - Phone
- (573) 882-1026
- Fax
- (573) 884-3052
- NPI assigned
- Jul 27, 2007
- Last updated
- Sep 15, 2022
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 2010025679 | MO | Primary |
Addresses
Primary practice location
1 Hospital Dr
Columbia, MO 65212-0001
Mailing address
PO Box 843966
Kansas City, MO 64184-3966
Phone (573) 884-3300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MUDOCREFERRAL@direct.health.missouri.edu | Direct | Curators of the University of Missouri |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Hospital Dr
Columbia, MO 65212-0001
Phone (573) 882-4141
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010025679 | MO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonoran Radiology LTD | Diagnostic Radiology | Current | Accepting new patients |
| Curators of the University of Missouri | Current | Accepting new patients | |
| The Curators of the University of Missouri | Current | Accepting new patients |
Locations (25 of 57)
3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444
2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200
1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285
3645 S Rome St
Ste 101
Gilbert, AZ 85297
1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000
6220 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 547-7230
5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555
17900 N Porter Rd
Maricopa, AZ 85138
Phone (520) 233-2500
6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000
1052 E McKellips Rd
Mesa, AZ 85203
Phone (480) 425-5080
6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000
1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000
10575 N Tatum Blvd
Ste C128
Paradise Vly, AZ 85253
Phone (480) 998-1490
807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222
10230 W Happy Valley Pkwy
Ste 100
Peoria, AZ 85383
Phone (623) 266-4699
13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800
9165 W Thunderbird Rd
Peoria, AZ 85381
Phone (623) 285-1120
20940 N Tatum Blvd
Ste 390
Phoenix, AZ 85050
Phone (480) 407-0060
18404 N Tatum Blvd
Ste 103
Phoenix, AZ 85032
Phone (602) 485-7490
2222 E Highland Ave
Ste 120
Phoenix, AZ 85016
Phone (602) 977-1177
33423 N 32nd Ave
Phoenix, AZ 85085
Phone (623) 474-1600
19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720
16641 N 40th St
Ste 1
Phoenix, AZ 85032
Phone (623) 931-7999
19636 N 27th Ave
Ste LL1
Phoenix, AZ 85027
Phone (602) 485-7482
250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Columbia, MO
- NPI 1235126921
-
- Vascular & Interventional Radiology Physician
- Mesa, AZ
- NPI 1033745708
Diagnostic Radiology
-
dba University Physicians Specialty Care Associates
- Durable Medical Equipment & Medical Supplies
- Columbia, MO
- NPI 1356963201
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Capital Region Medical Center
- General Acute Care Hospital
- Jefferson City, MO
- NPI 1174597892
-
dba University of Missouri Health Care
- General Acute Care Hospital
- Columbia, MO
- NPI 1699769901
-
dba Northeast Regional Medical Center
- General Acute Care Hospital
- Kirksville, MO
- NPI 1104899442
-
- Rural Acute Care Hospital
- Osage Beach, MO
- NPI 1386619450
-
dba Phelps Health Medical Group
- Rural Health Clinic/Center
- Salem, MO
- NPI 1194077701
Hospital
-
dba Phelps Health
- Rehabilitation Hospital Unit
- Rolla, MO
- NPI 1346287455
-
dba Phelps Health
- General Acute Care Hospital
- Rolla, MO
- NPI 1891766051
-
dba SSM Health St. Mary's Hospital Jefferson City
- General Acute Care Hospital
- Jefferson City, MO
- NPI 1518065523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663200000000",
"number": "1972793842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 843966",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641843966",
"telephone_number": "573-884-3300",
"fax_number": "573-884-0943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOSPITAL DR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652120001",
"telephone_number": "573-882-1026",
"fax_number": "573-884-3052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGE",
"first_name": "KRAIG",
"middle_name": "JASON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-27",
"last_updated": "2022-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "2010025679",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "MUDOCREFERRAL@direct.health.missouri.edu",
"affiliation": "Y",
"endpointDescription": "Endpoint is used to receive electronic continuity of care documents (C-CDA) for outpatient referrals.",
"affiliationName": "Curators of the University of Missouri",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "DIRECT",
"address_1": "1 Hospital Dr",
"city": "Columbia",
"state": "MO",
"country_code": "US",
"postal_code": "652120001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.