Benjamin J Krogh, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

372297-1204 Issued in UT

Practice address

822 East Main Street #7
Grantsville, UT 84029

Phone

(435) 884-3582

Fax

(435) 884-3578

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

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

Specialty

Family Practice

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Lukes HospitalGroup PAC ID 4486565645, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Luke'S Hospital Hospital, Crosby, ND, CCN 351325
• Trinity Hospitals Hospital, Minot, ND, CCN 350006
• St Luke'S Hospital Nursing home, CCN 35Z325

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bkrogh@slh.securechart.com

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.

• St Luke'S Hospital

  • Rural Health Clinic/Center
  • Crosby, ND
  • NPI 1184737231
  Medicare reassignment Care Compare group NPD
• Southwest Healthcare Services

  • Critical Access Hospital
  • Bowman, ND
  • NPI 1477529030
  Medicare reassignment NPD
• St. Luke'S Hospital

  • Critical Access Hospital
  • Crosby, ND
  • NPI 1215942032
  Medicare reassignment
• Benjamin J Krogh DO PC

  • Family Medicine Physician
  • Grantsville, UT
  • NPI 1972696425
  NPD (past) Authorized official
• St Luke'S Hospital

  • Clinic/Center
  • Crosby, ND
  • NPI 1750569125
  NPD
• Tioga Medical Center

  • Critical Access Hospital
  • Tioga, ND
  • NPI 1043280696
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Luke'S Hospital

  • Skilled Nursing Facility
  • Crosby, ND
  • NPI 1083620199

  Nursing home

  Care Compare affiliation
• St. Luke'S Hospital

  • Critical Access Hospital
  • Crosby, ND
  • NPI 1215942032
  Care Compare affiliation
• Trinity Hospitals

  • Air Ambulance
  • Minot, ND
  • NPI 1053502773

  Hospital

  Care Compare affiliation
• Trinity Hospitals

  • Land Ambulance
  • Minot, ND
  • NPI 1134310857

  Hospital

  Care Compare affiliation
• Trinity Hospitals

  • General Acute Care Hospital
  • Minot, ND
  • NPI 1427103910
  Care Compare affiliation
• Trinity Hospitals

  • Substance Abuse Rehabilitation Facility
  • Minot, ND
  • NPI 1457539660

  Hospital

  Care Compare affiliation
• Trinity Hospitals

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Minot, ND
  • NPI 1487804092
  Care Compare affiliation
• Trinity Hospitals

  • General Acute Care Hospital
  • Minot, ND
  • NPI 1932359544
  Care Compare affiliation

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255478400000",
    "number": "1013003540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 EAST MAIN STREET #7",
            "city": "GRANTSVILLE",
            "state": "UT",
            "postal_code": "84029",
            "telephone_number": "435-884-3582",
            "fax_number": "435-884-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 EAST MAIN STREET #7",
            "city": "GRANTSVILLE",
            "state": "UT",
            "postal_code": "84029",
            "telephone_number": "435-884-3582",
            "fax_number": "435-884-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROGH",
        "first_name": "BENJAMIN",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2009-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "372297-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Jones
• Shane M Juber, D.D.S.
• Anita Keetch, AT
• Josseline Kelley, RDN
• Kiersten Kemp
• Archie J Larsen
• Crystina Larsen
• Jeffrey D Lee, M.D.
• Abigail Liddiard
• Terell Lujan

• Family Medicine Physician in Grantsville, UT
• Providers in Grantsville, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.

Verify at the official NPI Registry.