Chad A Krueger, M.D.
Individual provider Active NPI Internal Medicine Physician · Milan, MI
NPI 1477530731 · NPPES record last updated Jan 31, 2013
Key facts
- NPI
- 1477530731
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 4301076288 (MI)
- Practice address
- 870 E Arkona Rd
Ste 100
Milan, MI 48160-9770 - Phone
- (734) 439-2429
- Fax
- (734) 439-0200
- NPI assigned
- Dec 28, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Texas Southwestern Medical School at Dallas, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iha Health Services Corporation
Practice addresses (Care Compare)
4350 Jackson Rd
Suite 200
Ann Arbor, MI 48103-1889
Phone (734) 761-2581
Hospital & facility affiliations
- Elara Caring
- Shared Services Home Health Care
- Trinity Health Ann Arbor Hospital
- Promedica Charles and Virginia Hickman Hospital
- Chelsea Hospital
- Holy Redeemer Hospital and Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040402000653 | MI | Practitioner - Internal Medicine | 1153313648 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301076288 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iha Health Services Corporation | Current | Accepting new patients | |
| Iha Health Service Corporation | Current |
Accepting new patients | |
| Iha Health Services Corporation | Current |
Accepting new patients | |
| Iha Health Services Corporation | Past | Accepting new patients | |
| Washtenaw Medicine | Past | Accepting new patients |
Locations
4200 Whitehall Dr
Ste 130
Ann Arbor, MI 48105
Phone (734) 995-0303
4350 Jackson Rd
Ste 200
Ann Arbor, MI 48103
Phone (734) 761-2581
3200 W Liberty Rd
Ste C
Ann Arbor, MI 48103
Phone (734) 761-2581
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400
2090 Commonwealth Blvd
Ann Arbor, MI 48105
Phone (734) 995-0303
49650 Cherry Hill Rd
Ste 120
Canton, MI 48187
Phone (734) 398-7800
128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677
870 E Arkona Rd
Ste 100
Milan, MI 48160
Phone (734) 439-2429
44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700
4990 W Clark Rd
Ste 200
Ypsilanti, MI 48197
Phone (734) 572-7500
Interoperability endpoints
- ckrueger25906@direct.trinity-health.org
- https://api.platform.athenahealth.com/3683/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301076288 | MI | Yes |
Addresses
Primary practice location
870 E Arkona Rd
Ste 100
Milan, MI 48160-9770
Mailing address
24 Frank Lloyd Wright Dr
PO Box 0446 Lobby J
Ann Arbor, MI 48105-9484
Phone (734) 327-0872
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M77480038 | Other | MI | MEDICARE PTAN |
Other providers in Milan, MI
- Amanda S Kaiser
- Bridget E Kasmenn
- Edward Key Kim
- David Klerkx
- Kroger Co of Michigan
- Gwendolyn K La Croix
- Debra Joyce Lammers
- Lynn Lewis
- Life Cycle Family Chiropractic, PC
- Little Pharmacy LLC
All providers in Milan, MI · Internal Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.