Justin K Krueger, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35082295 Issued in OH

Practice address

140 Colemans Crossing Boulevard
Suite 210
Marysville, OH 43040-0000

Phone

(937) 644-1441

Fax

(937) 642-7760

NPI assigned

Apr 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Internal MedicineAlso: Pediatric Medicine

Education

Ohio State University College of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Ohio Primary Care Physicians, Inc.Group PAC ID 2769383785, 487 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital Hospital, Marysville, OH, CCN 360092
• Dublin Methodist Hospital Hospital, Dublin, OH, CCN 360348

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jkrueger19064@copcp.medicity.net

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.

• Central Ohio Primary Care Physicians, Inc.

  • Internal Medicine Physician
  • Westerville, OH
  • NPI 1194705194
  Medicare reassignment Care Compare group NPD
• Central Ohio Primary Care Physicians Inc

  • Hospitalist Physician
  • Westerville, OH
  • NPI 1518398866
  NPD
• Central Ohio Primary Care Physicians, Inc.

  • Clinical Medical Laboratory
  • Westerville, OH
  • NPI 1639279045
  NPD
• Hospitalist Services Medical Group of Marysville Inc

  • Internal Medicine Physician
  • Marysville, OH
  • NPI 1700871068
  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Memorial Hospital of Union County

  • General Acute Care Hospital
  • Marysville, OH
  • NPI 1720159338
  NPD (past)

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

• Memorial Hospital of Union County

  • General Acute Care Hospital
  • Marysville, OH
  • NPI 1720159338
  Care Compare affiliation
• Ohiohealth Corporation

  • General Acute Care Hospital
  • Dublin, OH
  • NPI 1801937008
  Care Compare affiliation

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1528024197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 COLEMANS CROSSING BOULEVARD",
            "address_2": "SUITE 210",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430400000",
            "telephone_number": "937-644-1441",
            "fax_number": "937-642-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 COLEMANS CROSSING BOULEVARD",
            "address_2": "SUITE 210",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430400000",
            "telephone_number": "937-644-1441",
            "fax_number": "937-642-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "JUSTIN",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35082295",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35082295",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2545044",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luke Robert Kontras, PT, DPT
• Stephanie Kracker, PA-C
• Brianne Nicole Kramer, L.P.C.
• Katelin Kreinbrink, DDS
• Frank Joseph Krivanek, PHARM D
• Lisa A Krumm, MD
• Jodi Kulka, M.ED.
• Kassidy Brianna Kyle, LSW, MSW
• Lori Lacella
• Alyssa Laisure

• Internal Medicine Physician in Marysville, OH
• Providers in Marysville, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.
• 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.

Verify at the official NPI Registry.