Individual provider Active NPI

Kristin P Kroeker, MD

  • Obstetrics & Gynecology Physician
  • Fresno, CA
National Provider Identifier
1205908969
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A63997 Issued in CA
Practice address
7050 N Recreation
Suite 101
Fresno, CA 93720
Phone
(559) 325-3515
Fax
(559) 325-3526
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A63997 CA Primary

Addresses

Primary practice location

7050 N Recreation
Suite 101
Fresno, CA 93720

Mailing address

7050 N Recreation
Suite 101
Fresno, CA 93720
Phone (559) 325-3515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20050527000227 CA Practitioner - Obstetrics/Gynecology 3072555267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Foundation Medical GroupGroup PAC ID 0345406294, 282 clinicians

Practice addresses (Care Compare)

2335 E Kashian LN
Fresno, CA 93701-2234

2755 Herndon Ave
Clovis, CA 93611-6800
Phone (559) 228-4327

722 Medical Ctr Dr E
Clovis, CA 93611-6810

Hospital & facility affiliations

  • Clovis Community Medical Center Hospital, Clovis, CA, CCN 050492

Merit-based Incentive Payment System (MIPS)

Final score
90.41 of 100Reported as group
Quality
87.02
Promoting interoperability
100
Improvement activities
40
Cost
78.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group CurrentSince Jan 1, 2015 Accepting new patients
Community Foundation Medical Group Current Accepting new patients
Community Foundation Medical Group CurrentSince Jan 1, 2015 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Alfred G Peters, M.D., Inc Obstetrics & Gynecology Past Accepting new patients
Fresno Surgery Center LP Past Accepting new patients

Locations

722 N Medical Center Dr E
Ste 101
Clovis, CA 93611
Phone (559) 297-9500

7050 N Recreation Ave
Ste 101
Fresno, CA 93720
Phone (559) 325-3515

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205908969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 N RECREATION",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93720",
            "telephone_number": "559-325-3515",
            "fax_number": "559-325-3527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 N RECREATION",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93720",
            "telephone_number": "559-325-3515",
            "fax_number": "559-325-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROEKER",
        "first_name": "KRISTIN",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A63997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.