Active NPI
Calvin L Kruger II, P.A.
- Physician Assistant
- Pratt, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1500632
- Practice address
- 420 Country Club Rd
Pratt, KS 67124-3125 - Phone
- (620) 672-7415
- Fax
- (620) 672-7414
- NPI assigned
- Jun 9, 2006
- Last updated
- Mar 24, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 15-00632 | KS | |
| Physician Assistant | 363A00000X | 1500632 | KS | Primary |
Addresses
Primary practice location
420 Country Club Rd
Pratt, KS 67124-3125
Mailing address
420 Country Club Rd
Pratt, KS 67124-3125
Phone (620) 672-7415
Other practice location 1
505 N Main St
Ulysses, KS 67880-2135
Phone (620) 356-1261
Other practice location 2
415 N Main St
Ulysses, KS 67880-2133
Phone (620) 356-1266
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pawnee Valley Community Hospital Inc
Practice addresses (Care Compare)
713 W 11TH St
Larned, KS 67550-2055
Phone (620) 804-6007
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1500632 | KS | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashland District Hospital | Current | Accepting new patients | |
| Trinity Medical Associates | Current | Accepting new patients | |
| Pawnee Valley Community Hospital, Inc. | Current | Accepting new patients | |
| Pratt Regional Medical Center Corporation | Current | Accepting new patients | |
| Pratt Regional Medical Center Corporation | Current | Accepting new patients | |
| Pawnee Valley Community Hospital Inc | Current | Accepting new patients | |
| Pratt Internal Medicine Group PA | Past | Accepting new patients | |
| St. Joseph Memorial Hospital, Inc. | Past | Accepting new patients | |
| Pawnee Valley Community Hospital, Inc | Past | Accepting new patients |
Locations
625 Kentucky St
Ashland, KS 67831
Phone (620) 635-2222
625 Kentucky St
#188
Ashland, KS 67831
Phone (620) 635-2241
713 W 11th St
Larned, KS 67550
Phone (620) 285-6958
923 Carroll Ave
Larned, KS 67550
Phone (620) 285-3161
200 Commodore St
Pratt, KS 67124
Phone (620) 672-6476
420 Country Club Rd
Pratt, KS 67124
Phone (620) 672-7415
420 Country Club Rd
Ste 100
Pratt, KS 67124
Phone (620) 672-7415
Interoperability endpoints
- calvin.kruger@khindirect.org
Organizations & group practices 12
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.
-
dba Pawnee Valley Community Hospital Family Medicine
- General Practice Physician
- Larned, KS
- NPI 1912310822
-
- Critical Access Hospital
- Larned, KS
- NPI 1568401206
-
- Critical Access Hospital
- Ashland, KS
- NPI 1265529614
-
- Specialist
- Larned, KS
- NPI 1467569442
-
dba Pratt Regional Medical Center
- Rural Acute Care Hospital
- Pratt, KS
- NPI 1578596904
-
dba PRMC Infusion and Wound Care Clinic
- Infusion Therapy Clinic/Center
- Pratt, KS
- NPI 1689246753
-
dba South Central Bone & Joint Center
- Multi-Specialty Clinic/Center
- Pratt, KS
- NPI 1821022385
-
- Family Medicine Physician
- Larned, KS
- NPI 1073784138
-
- Medicare Defined Swing Bed Hospital Unit
- Larned, KS
- NPI 1861423238
-
- Rural Health Clinic/Center
- Pratt, KS
- NPI 1174570386
-
dba St Joseph Family Medicine-Larned
- Family Medicine Physician
- Larned, KS
- NPI 1326098914
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Patterson Health Center
- Critical Access Hospital
- Anthony, KS
- NPI 1467427674
-
- Critical Access Hospital
- Harper, KS
- NPI 1740709955
-
- Critical Access Hospital
- Larned, KS
- NPI 1568401206
-
dba Pratt Regional Medical Center
- Rural Acute Care Hospital
- Pratt, KS
- NPI 1578596904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679616000000",
"number": "1326089558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 COUNTRY CLUB RD",
"city": "PRATT",
"state": "KS",
"postal_code": "671243125",
"telephone_number": "620-672-7415",
"fax_number": "620-672-7414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 COUNTRY CLUB RD",
"city": "PRATT",
"state": "KS",
"postal_code": "671243125",
"telephone_number": "620-672-7415",
"fax_number": "620-672-7414"
}
],
"practiceLocations": [
{
"address_1": "505 N Main St",
"address_purpose": "LOCATION",
"city": "Ulysses",
"state": "KS",
"postal_code": "678802135",
"country_code": "US",
"telephone_number": "620-356-1261",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "415 N Main St",
"address_purpose": "LOCATION",
"city": "Ulysses",
"state": "KS",
"postal_code": "678802133",
"country_code": "US",
"telephone_number": "620-356-1266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRUGER",
"first_name": "CALVIN",
"middle_name": "L",
"name_suffix": "II",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2023-03-24",
"certification_date": "2023-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "KS",
"license": "15-00632",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KS",
"license": "1500632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pratt, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.