Active NPI
Kevin Karl Kruse II, M.D.
- Orthopaedic Surgery Physician
- Dallas, TX
National Provider Identifier
1508094137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 31718
- Practice address
- 8210 Walnut Hill LN
Ste 130
Dallas, TX 75231-4405 - Phone
- (214) 750-8112
- Fax
- (214) 739-0529
- NPI assigned
- Jun 22, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 31718 | SC | Primary |
Addresses
Primary practice location
8210 Walnut Hill LN
Ste 130
Dallas, TX 75231-4405
Mailing address
8210 Walnut Hill LN
Ste 130
Dallas, TX 75231-4405
Phone (214) 750-8112
Other practice location 1
6020 W Parker Rd Ste 240
Plano, TX 75093-0004
Phone (972) 378-1438
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2023 through Jul 1, 2027
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The West Texas Rehabilitation Center
Practice addresses (Care Compare)
4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411
Hospital & facility affiliations
- Vitalcaring Group
- Texas Institute for Surgery at Presbyterian Hospit
- Methodist Hospital for Surgery
- Hunt Regional Medical Center
- Baylor Scott & White Institute for Rehabilitation
- Baylor Institute for Rehabilitation at Frisco
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31718 | SC | MD | Psychiatric/Mental Health Nurse Practitioner |
Interoperability endpoints
- kevin.kruse.1@15533.direct.athenahealth.com
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenville, TX
- NPI 1598750721
-
- General Acute Care Hospital
- Addison, TX
- NPI 1023338142
-
- Home Health Agency
- Sulphur Springs, TX
- NPI 1467591032
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1245201656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666569600000",
"number": "1508094137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8210 WALNUT HILL LN",
"address_2": "STE 130",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314405",
"telephone_number": "214-750-8112",
"fax_number": "214-739-0529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8210 WALNUT HILL LN",
"address_2": "STE 130",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314405",
"telephone_number": "214-750-8112",
"fax_number": "214-739-0529"
}
],
"practiceLocations": [
{
"address_1": "6020 W Parker Rd Ste 240",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750930004",
"country_code": "US",
"telephone_number": "972-378-1438",
"fax_number": "972-378-1432",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRUSE",
"first_name": "KEVIN",
"middle_name": "KARL",
"name_suffix": "II",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-22",
"last_updated": "2022-10-24",
"certification_date": "2022-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "SC",
"license": "31718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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; Opt Out Affidavits.
- 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.