Individual provider Active NPI

Sara E Krueger, DO

  • Gynecology Physician
  • Ottawa, KS
National Provider Identifier
1235119595
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
0532524 Issued in KS
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.

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 40 clinicians

Practice addresses (Care Compare)

1301 S Main St
Adventhealth Medical Group
Ottawa, KS 66067-3537
Phone (785) 229-3367

Hospital & facility affiliations

  • Adventhealth Ottawa Hospital, Ottawa, KS, CCN 170014
  • Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104

Merit-based Incentive Payment System (MIPS)

Final score
75.72 of 100Reported as group
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
0532524KSMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventhealth Ransom Memorial, Inc. CurrentSince May 1, 2019 Accepting new patients
Adventhealth Ransom Memorial, Inc. CurrentSince May 1, 2019 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)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 0532524 KS Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
106528OtherKSBLUE CROSS BLUE SHIELD
200429600AMedicaidKS

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

Verify at the official NPI Registry.