Individual provider Active NPI

Niloo Shanya Krueger, MD

  • Surgery Physician
  • Dayton, MN
National Provider Identifier
1376856500
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
59465 Issued in MN
Practice address
14256 River Hills Pkwy
Dayton, MN 55327-6100
Phone
(612) 618-7983
NPI assigned
Jul 16, 2010
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301097157 MI
Surgery Physician 208600000X 59465 MN Primary
Trauma Surgery Physician 2086S0127X 01091080A IN
Trauma Surgery Physician 2086S0127X 2714 WI

Addresses

Primary practice location

14256 River Hills Pkwy
Dayton, MN 55327-6100

Mailing address

14256 River Hills Pkwy
Dayton, MN 55327-6100
Phone (612) 618-7983

Other practice location 1

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

Other practice location 2

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone (612) 672-6000

Other identifiers 2

IdentifierTypeStateIssuer
4301097157OtherMISTATE OF MICHIGAN - DEPARTMENT OF COMMUNITY HEALTH: BOARD OF MEDICINE
5315046687OtherMISTATE OF MICHIGAN - DEPARTMENT OF COMMUNITY HEALTH: BOARD OF PHARMACY

Other names 1

  • Niloo Ratnayake Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI, SD3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150903001792 MN Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 5890001952 Reassigns benefits to 9 organizations
I20230405000740 WI Practitioner - General Surgery 5890001952 Reassigns benefits to 4 organizations
I20250310000360 SD Practitioner - General Surgery 5890001952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Health ServicesGroup PAC ID 1951213057, 677 clinicians
North Memorial Health CareGroup PAC ID 0042123028, 502 clinicians
St. Luke's Hospital of DuluthGroup PAC ID 7113834839, 409 clinicians

Practice addresses (Care Compare)

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone (612) 273-7838

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (763) 520-4897

920 E 1St St
Suite 302
Duluth, MN 55805-2225
Phone (218) 249-6050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.44 of 100Reported as group
Quality
82.65
Promoting interoperability
100
Improvement activities
40
Cost
77.21

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
75.41
Promoting interoperability
100
Improvement activities
40
Cost
75.75

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2714WIMDOptometrist
4301097157MIMDSurgery Physician
59465MNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Minnesota Health Clinics and Surgery Center Inc CurrentSince Mar 29, 2024 Accepting new patients
St. Croix Regional Medical Center CurrentSince Feb 1, 2023 Accepting new patients
Sanford Health Network Current Accepting new patients
Fairview Health Services CurrentSince Mar 30, 2024 Accepting new patients
St. Croix Regional Medical Center CurrentSince Feb 1, 2023 Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. Current Accepting new patients
Fairview Express Care Current Accepting new patients
St. Luke's Hospital of Duluth CurrentSince May 12, 2025 Accepting new patients
MCHS Hospitals Inc CurrentSince Sep 26, 2025 Accepting new patients
Fairview Express Care CurrentSince Mar 29, 2024 Accepting new patients
Healtheast Medical Research Insititue CurrentSince Aug 10, 2024 Accepting new patients
University of Minnesota Physicians CurrentSince Mar 29, 2024 Accepting new patients
Healtheast Medical Research Institute Surgery CurrentSince Aug 10, 2024 Accepting new patients
North Memorial Health Care CurrentSince Jun 1, 2023 Accepting new patients
MCHS Hospitals Inc CurrentSince Sep 26, 2025 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Sanford Health Network Current Accepting new patients
Fairview Health Services CurrentSince Mar 30, 2024 Accepting new patients
Sanford Health Network Current Accepting new patients
St. Luke's Hospital of Duluth CurrentSince May 12, 2025 Accepting new patients
Fairview Express Care CurrentSince Mar 29, 2024 Accepting new patients
North Memorial Health Care CurrentSince Jun 1, 2023 Accepting new patients
Sanford Health Network Current Accepting new patients
North Memorial Health Care Current Accepting new patients
St. Luke's Hospital of Duluth Current Accepting new patients
Marshfield Clinic Inc Surgery CurrentSince Sep 26, 2025 Accepting new patients
University of Minnesota Physicians CurrentSince Mar 29, 2024 Accepting new patients
Fairview Express Care Past Accepting new patients
Memorial Hospital Inc Past Accepting new patients
St. Luke's Hospital of Duluth Past Accepting new patients
Allina Health System Past Accepting new patients

Locations (25 of 26)

29980 Network Pl
Chicago, IL 60673

1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860

920 E 1st St
Ste 302
Duluth, MN 55805
Phone (218) 249-6050

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300

516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

720 Washington Ave SE
Ste 300
Minneapolis, MN 55414
Phone (612) 884-0331

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

909 Fulton St SE
Ste 202
Minneapolis, MN 55455
Phone (612) 273-8383

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

3366 Oakdale Ave N
Ste 200
Robbinsdale, MN 55422
Phone (763) 287-5000

1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342

1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141

20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

216 S Adams St
St Croix Fls, WI 54024
Phone (715) 483-0426

Interoperability endpoints

  • Direct secure messaging: nkrueger363709@excellian.direct.allina.com
  • Direct secure messaging: nkrueger374456@direct.aspirus.org
  • Direct secure messaging: nkrueger905352@fairview.direct-ci.com

Organizations & group practices 33

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.

View all 33

Hospital & facility affiliations 31

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 31

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1376856500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14256 RIVER HILLS PKWY",
            "city": "DAYTON",
            "state": "MN",
            "postal_code": "553276100",
            "telephone_number": "612-618-7983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14256 RIVER HILLS PKWY",
            "city": "DAYTON",
            "state": "MN",
            "postal_code": "553276100",
            "telephone_number": "612-618-7983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 N Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Marshfield",
            "state": "WI",
            "postal_code": "544495703",
            "country_code": "US",
            "telephone_number": "715-387-5511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2450 Riverside Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554541450",
            "country_code": "US",
            "telephone_number": "612-672-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "NILOO",
        "middle_name": "SHANYA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-16",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301097157",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "59465",
            "primary": true
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "IN",
            "license": "01091080A",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "WI",
            "license": "2714",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN - DEPARTMENT OF COMMUNITY HEALTH: BOARD OF MEDICINE",
            "identifier": "4301097157",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN - DEPARTMENT OF COMMUNITY HEALTH: BOARD OF PHARMACY",
            "identifier": "5315046687",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NILOO",
            "last_name": "RATNAYAKE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dayton, MN

Sources for this page

Verify at the official NPI Registry.