Active NPI
Derek Kruse
- Hospitalist Physician
- Chardon, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 35.153923
- Practice address
- 13207 Ravenna Rd
Chardon, OH 44024-7032 - Phone
- (440) 285-6000
- NPI assigned
- Apr 7, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 35.153923 | OH | Primary |
Addresses
Primary practice location
13207 Ravenna Rd
Chardon, OH 44024-7032
Mailing address
13207 Ravenna Rd
Chardon, OH 44024-7032
Phone (440) 285-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000
Hospital & facility affiliations
- Uh Regional Hospitals
- Uh Cleveland Medical Center
- Uhhs Memorial Hospital of Geneva
- Lake Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospitals Medical Group Inc | Current | Accepting new patients | |
| Uh Regional Hospitals | Past | Accepting new patients | |
| Vanderbilt University | Internal Medicine | Past | Accepting new patients |
Locations
8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024
11100 Euclid Ave
Cleveland Heights, OH 44106
Interoperability endpoints
- dkruse27073@direct.vumc.org
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
-
- General Acute Care Hospital
- Chardon, OH
- NPI 1669562864
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1235154972
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Willoughby, OH
- NPI 1972689172
-
- General Acute Care Hospital
- Chardon, OH
- NPI 1669562864
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1043397292
-
- Multi-Specialty Clinic/Center
- Mentor, OH
- NPI 1487770335
Hospital
-
- Multi-Specialty Clinic/Center
- Westlake, OH
- NPI 1669598082
Hospital
-
- Critical Access Hospital
- Geneva, OH
- NPI 1225128432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1528487550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13207 RAVENNA RD",
"city": "CHARDON",
"state": "OH",
"postal_code": "440247032",
"telephone_number": "440-285-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13207 RAVENNA RD",
"city": "CHARDON",
"state": "OH",
"postal_code": "440247032",
"telephone_number": "440-285-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUSE",
"first_name": "DEREK",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-07",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OH",
"license": "35.153923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chardon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.