Active NPI
Kelly Kruse, M.D., M.P.H.
- Forensic Pathology Physician
- Ankeny, IA
National Provider Identifier
1154766798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Pathology Physician
- License
- MD-45172
- Practice address
- 2250 S Ankeny Blvd
Ankeny, IA 50023-9093 - Phone
- (515) 725-1400
- NPI assigned
- May 9, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Forensic Pathology Physician | 207ZF0201X | MD-45172 | IA | Primary |
Addresses
Primary practice location
2250 S Ankeny Blvd
Ankeny, IA 50023-9093
Mailing address
2250 S Ankeny Blvd
Ankeny, IA 50023-9093
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-45172 | IA | MD | Forensic Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597104000000",
"number": "1154766798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2250 S ANKENY BLVD",
"city": "ANKENY",
"state": "IA",
"postal_code": "500239093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 S ANKENY BLVD",
"city": "ANKENY",
"state": "IA",
"postal_code": "500239093",
"telephone_number": "515-725-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUSE",
"first_name": "KELLY",
"name_prefix": "Dr.",
"credential": "M.D., M.P.H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-09",
"last_updated": "2020-08-11",
"certification_date": "2020-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207ZF0201X",
"taxonomy_group": "",
"desc": "Pathology, Forensic Pathology",
"state": "IA",
"license": "MD-45172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ankeny, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.