Individual provider Active NPI

Erik Forrest Kruger, MD

  • Ophthalmology Physician
  • Kingston, PA
National Provider Identifier
1104886332
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD421729 Issued in PA
Practice address
703 Rutter Ave
Kingston, PA 18704-4801
Phone
(570) 288-7405
Fax
(570) 288-7406
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD421729 PA Primary

Addresses

Primary practice location

703 Rutter Ave
Kingston, PA 18704-4801

Mailing address

703 Rutter Ave
Kingston, PA 18704-4801
Phone (570) 288-7405

Other practice location 1

32 Union Sq E Fl 7
New York, NY 10003-3242
Phone (212) 844-2020

Other identifiers 1

IdentifierTypeStateIssuer
001953572MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101116000869 PA Practitioner - Ophthalmology 9537057484
I20250310002097 NY Practitioner - Ophthalmology 9537057484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Square Eye Center LLCGroup PAC ID 9133451438, 17 clinicians

Practice addresses (Care Compare)

235 Park Ave S
FL 2
New York, NY 10003-1405
Phone (212) 844-2020

Merit-based Incentive Payment System (MIPS)

Final score
85.08 of 100Reported as group
Quality
85.29
Promoting interoperability
100
Improvement activities
40
Cost
64.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD421729PAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Square Eye Center LLC Ophthalmology CurrentSince May 4, 2025 Accepting new patients
Union Square Eye Care LLC Ophthalmology CurrentSince May 4, 2025 Accepting new patients

Locations

32 Union Sq E
Fl 7
New York, NY 10003
Phone (212) 529-5100

235 Park Ave S
New York, NY 10003

1815 Madison Ave
New York, NY 10035

235 Park Ave S
Fl 2
New York, NY 10003
Phone (212) 614-0039

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14049/brand/10/csg/1/fhir/r4
  • Direct secure messaging: erik.kruger.1@14049.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1104886332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 RUTTER AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187044801",
            "telephone_number": "570-288-7405",
            "fax_number": "570-288-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 RUTTER AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187044801",
            "telephone_number": "570-288-7405",
            "fax_number": "570-288-7406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32 Union Sq E Fl 7",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100033242",
            "country_code": "US",
            "telephone_number": "212-844-2020",
            "fax_number": "212-844-8221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUGER",
        "first_name": "ERIK",
        "middle_name": "FORREST",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD421729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001953572",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

Verify at the official NPI Registry.