Active NPI
Kraig Edward Bertram II, D.O.
- Pediatrics Physician
- Salina, KS
National Provider Identifier
1992026439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 05-36706
- Practice address
- 501 S Santa Fe Ave
Suite 100
Salina, KS 67401-4189 - Phone
- (785) 825-2273
- Fax
- (785) 825-2275
- NPI assigned
- Jun 18, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
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.
-
- Surgery Physician
- Salina, KS
- NPI 1619952785
-
- Pain Medicine (Anesthesiology) Physician
- Salina, KS
- NPI 1356203715
-
- Pediatrics Physician
- Salina, KS
- NPI 1699915934
NPD PEDIATRICS -
- Family Medicine Physician
- Salina, KS
- NPI 1124083373
-
- General Acute Care Hospital
- Salina, KS
- NPI 1689635138
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.42 of 100
- Quality
- 79.94
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.45
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160818001183 | KS | Practitioner - Pediatric Medicine | 9133414972 | 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 |
|---|---|---|---|
| 05-36706 | KS | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salina Regional Health Center, Inc. | Pediatrics | Current | Accepting new patients |
| Salina Regional Health Center Inc | Current | Accepting new patients | |
| Salina Regional Health Center, Inc | Current | Accepting new patients | |
| Salina Regional Health Center, Inc | Past | Accepting new patients | |
| Comcare, P.a | Past | Accepting new patients |
Locations
400 S Santa Fe Ave
Salina, KS 67401
Phone (785) 452-6019
501 S Santa Fe Ave
Ste 100
Salina, KS 67401
Phone (785) 827-9631
2265 S 9th St
Salina, KS 67401
Phone (785) 452-6000
2090 S Ohio St
Salina, KS 67401
Phone (785) 309-2323
Interoperability endpoints
- kraig.bertram@srhcdirect.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 05-36706 | KS | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
501 S Santa Fe Ave
Suite 100
Salina, KS 67401-4189
Mailing address
501 S Santa Fe Ave
Suite 100
Salina, KS 67401-4189
Phone (785) 825-2273
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201077750B | Medicaid | KS |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 16, 2020.
{
"created_epoch": "1276819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584316800000",
"number": "1992026439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 S SANTA FE AVE",
"address_2": "SUITE 100",
"city": "SALINA",
"state": "KS",
"postal_code": "674014189",
"telephone_number": "785-825-2273",
"fax_number": "785-825-2275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S SANTA FE AVE",
"address_2": "SUITE 100",
"city": "SALINA",
"state": "KS",
"postal_code": "674014189",
"telephone_number": "785-825-2273",
"fax_number": "785-825-2275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTRAM",
"first_name": "KRAIG",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-18",
"last_updated": "2020-03-16",
"certification_date": "2020-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KS",
"license": "05-36706",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201077750B",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salina, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.