Individual provider Active NPI

Dustin Kruse, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Wheat Ridge, CO
National Provider Identifier
1548433469
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
696 Issued in CO
Practice address
7615 W 38TH Ave
Suite B133
Wheat Ridge, CO 80033-6172
Phone
(303) 423-2520
Fax
(303) 423-2536
NPI assigned
Apr 11, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 696 CO Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

7615 W 38TH Ave
Suite B133
Wheat Ridge, CO 80033-6172

Mailing address

7615 W 38TH Ave
Suite B133
Wheat Ridge, CO 80033-6172
Phone (303) 423-2520

Other identifiers 1

IdentifierTypeStateIssuer
696OtherCOSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110720000513 CO Practitioner - Podiatry 8022286939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, shared by 5 NPIs, 530 clinicians
Wheat Ridge Foot and Ankle Center PCGroup PAC ID 5496645699, 5 clinicians

Practice addresses (Care Compare)

400 Indiana St
Suite 340
Golden, CO 80401-5033
Phone (720) 452-1267

7615 W 38TH Ave
Unit B133
Wheat Ridge, CO 80033-6138
Phone (303) 423-2520

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue96
Removal of nail tissue108
Removal or shaving of skin growth62
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
696COMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wheat Ridge Foot & Ankle Center, PC PastSince Sep 28, 2021 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADFGBA/Endpoint/ADFGBA

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1548433469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7615 W 38TH AVE",
            "address_2": "SUITE B133",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336172",
            "telephone_number": "303-423-2520",
            "fax_number": "303-423-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7615 W 38TH AVE",
            "address_2": "SUITE B133",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336172",
            "telephone_number": "303-423-2520",
            "fax_number": "303-423-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSE",
        "first_name": "DUSTIN",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-11",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "696",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "696",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

Verify at the official NPI Registry.