Individual provider Active NPI

Frederick Julian Kruger, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fresno, CA
National Provider Identifier
1417954447
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E2782 Issued in CA
Practice address
6115 N 1St St Ste 101
Fresno, CA 93710-5450
Phone
(559) 447-9040
Fax
(559) 436-4202
NPI assigned
Jul 5, 2005
Last updated
Mar 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E2782 CA Primary

Addresses

Primary practice location

6115 N 1St St Ste 101
Fresno, CA 93710-5450

Mailing address

6115 N 1St St Ste 101
Fresno, CA 93710-5450
Phone (559) 447-9040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20081210000102 CA Practitioner - PodiatryPractitioner - General Surgery 8729057484 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PodiatryAlso: General Surgery
Education
California School of Podiatric Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Healthcare NetworkGroup PAC ID 6305756339, 91 clinicians

Practice addresses (Care Compare)

3837 N Clark St
Fresno, CA 93726-4806
Phone (877) 960-3426

6115 N 1St St
Suite 101
Fresno, CA 93710-5450
Phone (559) 447-9040

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue838
Removal or shaving of skin growth107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fresno Community Hospital and Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: frederick.kruger@krugerpodiatry.direct.emds.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1417954447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 N 1ST ST STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105450",
            "telephone_number": "559-447-9040",
            "fax_number": "559-436-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 N 1ST ST STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105450",
            "telephone_number": "559-447-9040",
            "fax_number": "559-436-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUGER",
        "first_name": "FREDERICK",
        "middle_name": "JULIAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E2782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.