Individual provider Active NPI

Kevin Karl Kruse II, M.D.

  • Orthopaedic Surgery Physician
  • Dallas, TX
National Provider Identifier
1508094137
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
31718 Issued in SC
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

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2023 through Jul 1, 2027

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians

Practice addresses (Care Compare)

4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411

Hospital & facility affiliations

  • Vitalcaring Group Home health agency, Sulphur Springs, TX, CCN 679076
  • Texas Institute for Surgery at Presbyterian Hospit Hospital, Dallas, TX, CCN 450889
  • Methodist Hospital for Surgery Hospital, Addison, TX, CCN 670073
  • Hunt Regional Medical Center Hospital, Greenville, TX, CCN 450352
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036
  • Baylor Institute for Rehabilitation at Frisco Inpatient rehabilitation facility, Frisco, TX, CCN 673046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31718SCMDPsychiatric/Mental Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.