Individual provider Active NPI

Anthony C Krueger, M.D.

  • Diagnostic Radiology Physician
  • Columbus, NE
National Provider Identifier
1548573389
Registry record updated May 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
26724 Issued in NE
Practice address
4600 38TH St
Columbus, NE 68601-1664
Phone
(866) 477-7013
NPI assigned
Jul 21, 2010
Last updated
May 1, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 26724 NE Primary

Addresses

Primary practice location

4600 38TH St
Columbus, NE 68601-1664

Mailing address

PO Box 103
Yutan, NE 68073-0103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130731000283 NE Practitioner - Diagnostic Radiology 5698916880 Reassigns benefits to 2 organizations
I20210726001585 IA Practitioner - Diagnostic Radiology 5698916880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Radiology PCGroup PAC ID 2264491570, 65 clinicians
Columbus Community Hospital IncGroup PAC ID 7517954944, 86 clinicians

Practice addresses (Care Compare)

13616 California St
Suite 100
Omaha, NE 68154-5336
Phone (402) 496-0404

2330 Singletree
Columbus, NE 68601-8194
Phone (402) 493-1212

2601 N Spruce St
Ogallala, NE 69153-2465
Phone (402) 493-1212

4600 38TH St
Columbus, NE 68601-1664
Phone (402) 564-7118

801 5TH St
Sioux City, IA 51101-1326
Phone (712) 279-5999

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.03 of 100Reported as group
Quality
96.51
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
76.66 of 100Reported as individual
Quality
95.21
Improvement activities
0
Cost
81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26724NEMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Community Hospital Inc CurrentSince Oct 1, 2018 Accepting new patients
Diagnostic Radiology PC Diagnostic Radiology CurrentSince Jul 21, 2021 Accepting new patients
Columbus Community Hospital Inc CurrentSince Oct 1, 2018 Accepting new patients

Locations

1 Edmundson Pl
Council Bluffs, IA 51503
Phone (712) 396-4000

1001 Risen Son Blvd
Council Bluffs, IA 51503
Phone (712) 256-8591

201 Ridge St
Ste 312
Council Bluffs, IA 51503
Phone (402) 815-1970

808 E Pierce St
Council Bluffs, IA 51503
Phone (712) 396-4340

933 E Pierce St
Council Bluffs, IA 51503
Phone (712) 328-6000

320 Ebaugh St
Glenwood, IA 51534
Phone (712) 527-5204

1111 11th St
Hawarden, IA 51023
Phone (712) 551-3100

255 N Welch Ave
Primghar, IA 51245
Phone (712) 957-2300

300 Pershing Ave
Shenandoah, IA 51601
Phone (712) 246-1230

2600 Outer Dr N
Sioux City, IA 51104
Phone (712) 239-3300

4545 Sergeant Rd
Sioux City, IA 51106
Phone (712) 274-2400

801 5th St
Sioux City, IA 51101
Phone (712) 279-2010

4600 38th St
Columbus, NE 68601
Phone (402) 562-3333

2601 N Spruce St
Ogallala, NE 69153
Phone (308) 284-3645

13616 California St
Ste 100
Omaha, NE 68154
Phone (402) 496-5517

14301 Fnb Pkwy
Ste 100
Omaha, NE 68154
Phone (402) 706-6894

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.

Hospital & facility affiliations 5

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": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462060800000",
    "number": "1548573389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 103",
            "city": "YUTAN",
            "state": "NE",
            "postal_code": "680730103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 38TH ST",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686011664",
            "telephone_number": "866-477-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "ANTHONY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-21",
        "last_updated": "2016-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "26724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NE

Sources for this page

Verify at the official NPI Registry.