Active NPI
Stephen D Krueger, M.D.
- Obstetrics & Gynecology Physician
- Kansas City, MO
National Provider Identifier
1104865393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- R4E91
- Practice address
- 1004 Carondelet Dr
Suite 315
Kansas City, MO 64114-4802 - Phone
- (816) 942-3339
- Fax
- (816) 942-0606
- NPI assigned
- Jun 5, 2006
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | R4E91 | MO | Primary |
Addresses
Primary practice location
1004 Carondelet Dr
Suite 315
Kansas City, MO 64114-4802
Mailing address
1004 Carondelet Dr
Suite 315
Kansas City, MO 64114-4802
Phone (816) 942-3339
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R4E91 | MO | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goppert - Trinity Family Care, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/5617/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Kansas City, MO
- NPI 1922097013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1104865393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 CARONDELET DR",
"address_2": "SUITE 315",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641144802",
"telephone_number": "816-942-3339",
"fax_number": "816-942-0606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 CARONDELET DR",
"address_2": "SUITE 315",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641144802",
"telephone_number": "816-942-3339",
"fax_number": "816-942-0606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUEGER",
"first_name": "STEPHEN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MO",
"license": "R4E91",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.