Provider Demographics
NPI:1467545558
Name:KREBEL, STEVEN ROBERT (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:ROBERT
Last Name:KREBEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 GILLHAM ROAD
Mailing Address - Street 2:PROVIDER ENROLLMENT DEPARTMENT
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-4619
Mailing Address - Country:US
Mailing Address - Phone:816-701-5200
Mailing Address - Fax:816-302-9939
Practice Address - Street 1:2401 GILLHAM ROAD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-4619
Practice Address - Country:US
Practice Address - Phone:816-234-3000
Practice Address - Fax:816-302-9939
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9139207PP0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PP0204XAllopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX10028762OtherAMERIGROUP PIN
TX100933OtherSUPERIOR PIN
TX117114101OtherFIRSTCARE PIN
TX137345805Medicaid
TX1640399OtherFIRSTHEALTH PIN
TX00L42VOtherBCBSTX GRP PIN
1669442042OtherGRP NPI NUMBER
TX9469068OtherCIGNA PIN
TX137283103Medicaid
TX5654108OtherAETNA PIN
TX125424503Medicaid
TX413467OtherPHCS PIN
TX1392512OtherUHC PIN
TX83X065OtherBCBSTX IND PIN
TX125424502Medicaid
TX5654108OtherAETNA PIN
TX9469068OtherCIGNA PIN
TX125424503Medicaid