Active NPI
Ronald A Krueger, MD
- Otolaryngology Physician
- Mukilteo, WA
National Provider Identifier
1225133317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 32364
- Practice address
- 828 2ND St
Mukilteo, WA 98275-1610 - Phone
- (425) 341-4305
- NPI assigned
- Sep 13, 2006
- Last updated
- Feb 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 32364 | WA | Primary |
Addresses
Primary practice location
828 2ND St
Mukilteo, WA 98275-1610
Mailing address
828 2ND St Ste C
Mukilteo, WA 98275-1601
Phone (425) 347-9999
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 |
|---|---|---|---|
| 32364 | WA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Sleep, LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Sleep Disorder Diagnostic Clinic/Center
- Lake Stevens, WA
- NPI 1386206894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675728000000",
"number": "1225133317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "828 2ND ST STE C",
"city": "MUKILTEO",
"state": "WA",
"postal_code": "982751601",
"telephone_number": "425-347-9999",
"fax_number": "888-349-7131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "828 2ND ST",
"city": "MUKILTEO",
"state": "WA",
"postal_code": "982751610",
"telephone_number": "425-341-4305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUEGER",
"first_name": "RONALD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "WA",
"license": "32364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mukilteo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.