Active NPI
Gerard Kruger, M.D.
- Medical Oncology Physician
- Sharon, CT
National Provider Identifier
1609896273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 024325
- Practice address
- 19 W Main St
Sharon, CT 06069-2012 - Phone
- (860) 364-0531
- Fax
- (860) 496-4951
- NPI assigned
- Jul 19, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 24325 | CT | |
| Medical Oncology Physician | 207RX0202X | 024325 | CT | Primary |
Addresses
Primary practice location
19 W Main St
Sharon, CT 06069-2012
Mailing address
200 Kennedy Dr
Torrington, CT 06790-3096
Phone (860) 482-5384
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06-1088532 | Other | TAX ID # | |
| 001243252 | Medicaid | CT | |
| 11353 | Other | CT | CT CONTROLLED SUBSTANCE |
| 24325 | Other | CT | CT. LICENSE |
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 |
|---|---|---|---|
| 024325 | CT | MD | Medical Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1609896273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 KENNEDY DR",
"city": "TORRINGTON",
"state": "CT",
"postal_code": "067903096",
"telephone_number": "860-482-5384",
"fax_number": "860-489-1799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 W MAIN ST",
"city": "SHARON",
"state": "CT",
"postal_code": "060692012",
"telephone_number": "860-364-0531",
"fax_number": "860-496-4951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUGER",
"first_name": "GERARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CT",
"license": "24325",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "CT",
"license": "024325",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "06-1088532",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001243252",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT CONTROLLED SUBSTANCE",
"identifier": "11353",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT. LICENSE",
"identifier": "24325",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sharon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.