KIERSTEN CRAIG MD
NPI 1376938860
Urology - Pediatric Urology in Jbsa Lackland, TX

Q: What is the provider's specialty?

The provider's specialty is Urology with taxonomy code 2088P0231X and a focus in Pediatric Urology.

Active since April 01, 2015PECOS Enrolled

1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236(610) 937-6751 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kiersten Craig Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIERSTEN CRAIG MD (NPI 1376938860) is an individual pediatric urology provider in Jbsa Lackland, Texas, licensed in Michigan (4301508150) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Sam Houston.

NPPES Registry Identity

NPI1376938860

Entity TypeIndividualFemale

Primary Taxonomy2088P0231X

Provider Legal NameKIERSTEN CRAIGCredential: MD

Location Address1100 WILFORD HALL LOOP BLDG 4554Jbsa Lackland, TX 78236-5638

Mailing Address1100 Wilford Hall Loop Bldg 4554Jbsa Lackland, TX 78236-5638

Phone(610) 937-6751

Sole ProprietorYes

Enumeration DateApril 1, 2015

Last NPPES UpdateMarch 26, 2024

NPPES CertifiedMarch 26, 2024

✔ NPI 1376938860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians

Taxonomy Code2088P0231X

License✔ Licensed in MI · 4301508150

Definition

Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

1100 WILFORD HALL LOOP BLDG 4554, Jbsa Lackland, TX 78236

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Secondary Practice Location 1

Location 13551 Roger Brooke DrFort Sam Houston, TX 78234-4504 · Phone (610) 937-6751

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kiersten Craig Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.