Kenneth James Kroger, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G73864 Issued in CA

Practice address

11815 Education Street
Auburn, CA 95602-2410

Phone

(530) 888-4500

NPI assigned

Aug 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: kkrogermd35228@hisp.ehr.sutterhealth.org

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300752000000",
    "number": "1548378136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 POWELL ST",
            "address_2": "SUITE 920",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081826",
            "telephone_number": "510-350-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11815 EDUCATION STREET",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956022410",
            "telephone_number": "530-888-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROGER",
        "first_name": "KENNETH",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2011-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G73864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G738640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maryna Kozyryev
• Marlene Sue Kramer, F.N.P.
• Sandra L Kranzler
• David Richard Kraus, RPH
• Karen Ann Krause, PHYSICAL THERAPIST
• David Krommenhoek, AUD
• Jacqueline Rae Kubal, MFT
• Beverly Kubesh
• Esther Kung
• Bunnie Kurtz

• Emergency Medicine Physician in Auburn, CA
• Providers in Auburn, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.