Individual provider Active NPI

Daniel James Kruger

  • Physician Assistant
  • Littleton, CO
National Provider Identifier
1619684842
Registry record updated Dec 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
6179 S Balsam Way Ste 110
Littleton, CO 80123-3092
Phone
(303) 948-1570
NPI assigned
Oct 27, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

6179 S Balsam Way Ste 110
Littleton, CO 80123-3092

Mailing address

6467 W Clifton PL
Littleton, CO 80128-5836
Phone (303) 895-7780

Other practice location 1

6467 W Clifton Pl
Littleton, CO 80128-5836
Phone (303) 895-7780

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230109002437 CO Practitioner - Physician Assistant 6507236502 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alpine Medical Group Colorado PLLCGroup PAC ID 1759743347, 101 clinicians

Practice addresses (Care Compare)

Denver, CO 80202
Phone (720) 728-5170

6169 S Balsam Way
Suite 190
Littleton, CO 80123-3000
Phone (303) 933-8240

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Physician Partners, PLLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

205 S Garrison St
Ste A
Lakewood, CO 80226
Phone (720) 728-5170

6179 S Balsam Way
Ste 110
Littleton, CO 80123
Phone (303) 933-8220

6169 S Balsam Way
Ste 190
Littleton, CO 80123
Phone (303) 933-8240

Interoperability endpoints

  • Direct secure messaging: danielkruger@cpp.allscriptsdirect.net

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": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672012800000",
    "number": "1619684842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6467 W CLIFTON PL",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801285836",
            "telephone_number": "303-895-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6179 S BALSAM WAY STE 110",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801233092",
            "telephone_number": "303-948-1570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6467 W Clifton Pl",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801285836",
            "country_code": "US",
            "telephone_number": "303-895-7780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUGER",
        "first_name": "DANIEL",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.