Daniel Raymond Kroeger, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35-05-9282 Issued in OH

Practice address

4371 Ferguson Dr
Cincinnati, OH 45245-1668

Phone

(513) 752-3650

Fax

(513) 752-3387

NPI assigned

May 1, 2006

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: dkroeger@mtcarmel.pcc-direct.com

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.

• Children'S Hospital Medical Center

  • Pediatrics Physician
  • Cincinnati, OH
  • NPI 1609915784
  NPD (past)
• Pediatric Associates of Mt. Carmel, Inc.

  • Primary Care Clinic/Center
  • Cincinnati, OH
  • NPI 1912110990
  NPD (past)

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1679530810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4371 FERGUSON DRIVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451668",
            "telephone_number": "513-752-3650",
            "fax_number": "513-752-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4371 FERGUSON DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451668",
            "telephone_number": "513-752-3650",
            "fax_number": "513-752-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROEGER",
        "first_name": "DANIEL",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35-05-9282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0813276",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Franklin Krivak
• Anna Krivonos
• Marina Krivonos
• Amanda Renee Krodel, LPC
• Kimberly A Kroeger-Geoppinger, PSY.D
• Margaret Kroeger, RN
• Robert Francis Kroeger, DDS
• Jennifer Lynn Kroell, MA, LPC
• Kroger Limited Partnership I
• Kroger Limited Partnership I

• Pediatrics Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.