Active NPI
Jared D Krugh, DO
- Emergency Medicine Physician
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OS016296
- Practice address
- 201 State St
Erie, PA 16550-0002 - Phone
- (814) 877-6000
- NPI assigned
- May 16, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | OT014159 | PA | |
| Emergency Medicine Physician | 207P00000X | OS016296 | PA | Primary |
Addresses
Primary practice location
201 State St
Erie, PA 16550-0002
Mailing address
201 State St
Erie, PA 16550-0002
Phone (814) 877-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
751 Liberty St
Meadville, PA 16335-2559
Phone (814) 333-5081
Hospital & facility affiliations
- Meadville Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS016296 | PA | MD | Emergency Medicine Physician |
| OT014159 | PA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Meadville Medical Center | Current | Accepting new patients | |
| Titusville Area Hospital | Emergency Medicine | Current | Accepting new patients |
| Meadville Clinical Pathologists, Inc | Current | Accepting new patients | |
| Meadville Medical Center | Emergency Medicine | Current | Accepting new patients |
| University of Pittsburgh Physicians | Emergency Medicine | Current | Accepting new patients |
| Titusville Area Hospital | Current | Accepting new patients |
Locations
201 State St
Erie, PA 16550
Phone (814) 877-2137
751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081
1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728
1211 Wilmington Ave
New Castle, PA 16105
Phone (724) 656-4082
200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553
406 W Oak St
Titusville, PA 16354
Phone (814) 827-1851
Organizations & group practices 8
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.
-
- Multi-Specialty Clinic/Center
- Meadville, PA
- NPI 1629633573
Emergency Medicine
-
- Emergency Medicine Physician
- Titusville, PA
- NPI 1013012335
-
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1619935004
-
- Anatomic Pathology & Clinical Pathology Physician
- Meadville, PA
- NPI 1528048436
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Meadville, PA
- NPI 1639067804
-
- Audiologist
- Titusville, PA
- NPI 1306712104
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1285692699
-
- Urgent Care Clinic/Center
- Franklin, PA
- NPI 1619381456
Emergency Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Meadville, PA
- NPI 1942276423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465257600000",
"number": "1700178332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 STATE ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165500002",
"telephone_number": "814-877-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 STATE ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165500002",
"telephone_number": "814-877-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUGH",
"first_name": "JARED",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-16",
"last_updated": "2016-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "OT014159",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "OS016296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.