Active NPI
Sara E Krueger, DO
- Gynecology Physician
- Ottawa, KS
National Provider Identifier
1235119595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 0532524
- Practice address
- 1301 S Main St
Ottawa, KS 66067-3537 - Phone
- (785) 242-9889
- Fax
- (785) 229-8447
- NPI assigned
- Jan 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
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.
-
- Rural Health Clinic/Center
- Ottawa, KS
- NPI 1558824805
-
- Rural Health Clinic/Center
- Wellsville, KS
- NPI 1043773591
-
- General Acute Care Hospital
- Ottawa, KS
- NPI 1972063758
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Adventhealth Ransom Memorial Inc
Practice addresses (Care Compare)
1301 S Main St
Adventhealth Medical Group
Ottawa, KS 66067-3537
Phone (785) 229-3367
Hospital & facility affiliations
- Adventhealth Ottawa
- Adventhealth Shawnee Mission
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.72 of 100
- Quality
- 57.99
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 61.07
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070711000810 | KS | Practitioner - Obstetrics/Gynecology | 3678673258 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0532524 | KS | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventhealth Ransom Memorial, Inc. | Current | Accepting new patients | |
| Adventhealth Ransom Memorial, Inc. | Current | Accepting new patients |
Locations
901 S Main St
Ottawa, KS 66067
Phone (785) 229-8888
1301 S Main St
Ottawa, KS 66067
Phone (785) 229-3367
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 0532524 | KS | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1301 S Main St
Ottawa, KS 66067-3537
Mailing address
PO Box 460
Ottawa, KS 66067-0460
Phone (785) 229-3367
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106528 | Other | KS | BLUE CROSS BLUE SHIELD |
| 200429600A | Medicaid | KS |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 13, 2014.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402617600000",
"number": "1235119595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 460",
"city": "OTTAWA",
"state": "KS",
"postal_code": "660670460",
"telephone_number": "785-229-3367",
"fax_number": "785-229-8461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 S MAIN ST",
"city": "OTTAWA",
"state": "KS",
"postal_code": "660673537",
"telephone_number": "785-242-9889",
"fax_number": "785-229-8447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUEGER",
"first_name": "SARA",
"middle_name": "E",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-20",
"last_updated": "2014-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "KS",
"license": "0532524",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "106528",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200429600A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ottawa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.