Individual provider Active NPI

Jarrett D Kruska, M.D

  • Urology Physician
  • Enid, OK
National Provider Identifier
1497750533
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
21983 Issued in OK
Practice address
615 E Oklahoma Ave
Ste 202
Enid, OK 73701-5952
Phone
(580) 233-3230
Fax
(580) 233-0698
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 21983 OK Primary

Addresses

Primary practice location

615 E Oklahoma Ave
Ste 202
Enid, OK 73701-5952

Mailing address

615 E Oklahoma Ave
Ste 202
Enid, OK 73701-5952
Phone (580) 233-3230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20050608000703 OK Practitioner - Urology 6002854635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Oklahoma College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enid Urology Associates, Inc.Group PAC ID 6305828211, 5 clinicians

Practice addresses (Care Compare)

615 E Oklahoma Ave
Suite 202
Enid, OK 73701-5952
Phone (580) 233-3230

Hospital & facility affiliations

  • St Mary'S Regional Medical Center Hospital, Enid, OK, CCN 370026
  • Stillwater Medical-Blackwell Hospital, Blackwell, OK, CCN 370780
  • Stillwater Medical Center Hospital, Stillwater, OK, CCN 370049
  • Onecore Health Hospital, Oklahoma City, OK, CCN 370220
  • Share Medical Center Hospital, Alva, OK, CCN 371341

Merit-based Incentive Payment System (MIPS)

Final score
84.38 of 100Reported as group
Quality
88.38
Improvement activities
40
Cost
63.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection42

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Enid Urology Associates, Inc. Urology CurrentSince Aug 1, 2005 Accepting new patients
Oklahoma Lithotripter Associates, L.C. PastSince Mar 31, 2009 Accepting new patients
Uhs of Oklahoma, LLC Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

615 E Oklahoma Ave
Ste 202
Enid, OK 73701
Phone (580) 233-3230

111 Patton Dr
Ste B
Ponca City, OK 74601

111 Patton Dr
#B
Ponca City, OK 74601
Phone (580) 233-3230

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1497750533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E OKLAHOMA AVE",
            "address_2": "STE 202",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015952",
            "telephone_number": "580-233-3230",
            "fax_number": "580-233-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E OKLAHOMA AVE",
            "address_2": "STE 202",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015952",
            "telephone_number": "580-233-3230",
            "fax_number": "580-233-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSKA",
        "first_name": "JARRETT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OK",
            "license": "21983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.