Active NPI
Jonathan Ray Kruger, MD
- Rheumatology Physician
- Fayetteville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- E-14010
- Practice address
- 3162 W Martin Luther King Jr Blvd Ste 13
Fayetteville, AR 72704-7679 - Phone
- (479) 935-4834
- Fax
- (479) 249-9879
- NPI assigned
- Apr 18, 2010
- Last updated
- Sep 22, 2026
- 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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | E-14010 | AR | Primary |
Addresses
Primary practice location
3162 W Martin Luther King Jr Blvd Ste 13
Fayetteville, AR 72704-7679
Mailing address
614 E Emma Ave Ste 300
Springdale, AR 72764-4469
Phone (479) 751-7417
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Loma Linda University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
614 E Emma Ave
Suite 300
Springdale, AR 72764-4469
912 King Arthur Dr
Elm Springs, AR 72762-9041
912 King Athur Dr
Springdale, AR 72762-9041
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-14010 | AR | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates of Northwest Arkansas, PA | Rheumatology | Current | Accepting new patients |
| Medical Associates of Northwest Arkansas PA | Current | Accepting new patients | |
| Medical Associates of Northwest Arkansas PA | Past | Accepting new patients | |
| Medical Associates of Northwest Arkansas PA | Rheumatology | Past | Accepting new patients |
Locations
3344 N Futrall Dr
Fayetteville, AR 72703
Phone (479) 582-7213
Interoperability endpoints
- jkruger49736@washingtonregional.direct-ci.com
- jonathan.kruger@mana.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Fayetteville, AR
- NPI 1801847827
Rheumatology
-
- Family Medicine Physician
- Lowell, AR
- NPI 1912883273
-
- Podiatrist
- Fayetteville, AR
- NPI 1164140729
-
- Family Medicine Physician
- Fayetteville, AR
- NPI 1710218995
Rheumatology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790035200000",
"number": "1093031940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "614 E EMMA AVE STE 300",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727644469",
"telephone_number": "479-751-7417",
"fax_number": "479-751-2878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3162 W MARTIN LUTHER KING JR BLVD STE 13",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727047679",
"telephone_number": "479-935-4834",
"fax_number": "479-249-9879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUGER",
"first_name": "JONATHAN",
"middle_name": "RAY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-18",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "AR",
"license": "E-14010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; 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.