Active NPI
Richard James Kroeger, MD
- Gastroenterology Physician
- Kinston, NC
National Provider Identifier
1548312432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 27814
- Practice address
- 1100 Hardee Rd
Suite 103 B
Kinston, NC 28504 - Phone
- (252) 522-0285
- Fax
- (252) 523-4474
- NPI assigned
- Jan 18, 2007
- Last updated
- Oct 24, 2007
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 27814 | NC | Primary |
Addresses
Primary practice location
1100 Hardee Rd
Suite 103 B
Kinston, NC 28504
Mailing address
1100 Hardee Rd
Suite 103 B
Kinston, NC 28504
Phone (252) 522-0285
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8950334 | Medicaid | NC | |
| 01983 | Other | NC | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27814 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Endoscopy Center, LLC | Past | Accepting new patients | |
| Dr. Saracino Gastroenterolgy, P.C. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gastroenterology Physician
- Kinston, NC
- NPI 1548308976
-
- Specialist
- Kinston, NC
- NPI 1790752897
-
- Ambulatory Surgical Clinic/Center
- Kinston, NC
- NPI 1417193939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193184000000",
"number": "1548312432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 HARDEE RD",
"address_2": "SUITE 103 B",
"city": "KINSTON",
"state": "NC",
"postal_code": "28504",
"telephone_number": "252-522-0285",
"fax_number": "252-523-4474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 HARDEE RD",
"address_2": "SUITE 103 B",
"city": "KINSTON",
"state": "NC",
"postal_code": "28504",
"telephone_number": "252-522-0285",
"fax_number": "252-523-4474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROEGER",
"first_name": "RICHARD",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2007-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NC",
"license": "27814",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8950334",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "01983",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kinston, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.