Active NPI
Adrian S Krueger, PA
- Physician Assistant
- Patchogue, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 101 Hospital Rd
Patchogue, NY 11772-4870 - Phone
- (631) 654-7100
- NPI assigned
- Oct 12, 2018
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
101 Hospital Rd
Patchogue, NY 11772-4870
Mailing address
PO Box 1559
Stony Brook, NY 11790-0989
Phone (631) 444-1820
Other practice location 1
19 Longstreet Dr
Lake Grove, NY 11755-2340
Phone (631) 449-4425
Other practice location 2
101 Hospital Rd
Patchogue, NY 11772-4870
Phone (631) 654-7100
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | akrueger509585@nyumc.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
150 55TH St
Brooklyn, NY 11220-2508
Phone (718) 630-7000
Hospital & facility affiliations
- Long Island Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospital at Stony Brook | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| New York University | Current | Accepting new patients |
Locations
101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- akrueger509585@nyumc.direct-ci.com
- adrian.krueger@direct.stonybrookmedicine.edu
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Patchogue, NY
- NPI 1013724061
Hospital
-
- General Acute Care Hospital
- Patchogue, NY
- NPI 1831910355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1306311600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1559",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117900989",
"telephone_number": "631-444-1820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 HOSPITAL RD",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117724870",
"telephone_number": "631-654-7100"
}
],
"practiceLocations": [
{
"address_1": "19 Longstreet Dr",
"address_purpose": "LOCATION",
"city": "Lake Grove",
"state": "NY",
"postal_code": "117552340",
"country_code": "US",
"telephone_number": "631-449-4425",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Hospital Rd",
"address_purpose": "LOCATION",
"city": "Patchogue",
"state": "NY",
"postal_code": "117724870",
"country_code": "US",
"telephone_number": "631-654-7100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRUEGER",
"first_name": "ADRIAN",
"middle_name": "S",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-12",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "akrueger509585@nyumc.direct-ci.com",
"affiliation": "N",
"address_1": "101 Hospital Rd",
"city": "Patchogue",
"state": "NY",
"country_code": "US",
"postal_code": "117724870",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.