Active NPI
Cory Scott Krueger, M.D.
- Internal Medicine Physician
- Cottonwood, AZ
National Provider Identifier
1700835006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 36238
- Practice address
- 305 S Willard St
Cottonwood, AZ 86326-4127 - Phone
- (928) 634-7000
- Fax
- (928) 634-5649
- NPI assigned
- May 6, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 36238 | AZ | Primary |
Addresses
Primary practice location
305 S Willard St
Cottonwood, AZ 86326-4127
Mailing address
758 E Cottontail Run
Cottonwood, AZ 86326-7072
Phone (928) 634-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061118000010 | AZ | Practitioner - Internal Medicine | 0345208674 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
115 S Candy LN
Suite C1
Cottonwood, AZ 86326-4188
Phone (928) 634-7000
Hospital & facility affiliations
- Maggie'S Home Health LLC
- Angels Care Home Health of Arizona
- Northern Arizona Home Health
- Maggie'S Hospice, LLC
- Verde Valley Medical Center
- Haven of Cottonwood
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.46 of 100
- Quality
- 92.38
- Improvement activities
- 40
- Cost
- 68.34
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cory Krueger MD PLC | Internal Medicine | Current | Accepting new patients |
| Maggies Hospice, LLC | Past | Accepting new patients |
Locations
305 S Willard St
Cottonwood, AZ 86326
Phone (520) 634-0363
115 S Candy Ln
Ste C1
Cottonwood, AZ 86326
Phone (928) 634-7000
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Maggie'S Hospice | Hospice | Contracted Managing Employee (50%) | Feb 1, 2024 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Prescott, AZ
- NPI 1073854428
Contracted Managing Employee
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.
-
- Community Based Hospice Care Agency
- Prescott, AZ
- NPI 1073854428
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Cottonwood, AZ
- NPI 1821083882
-
- Home Health Agency
- Cottonwood, AZ
- NPI 1164882619
-
- Home Health Agency
- Cottonwood, AZ
- NPI 1740925148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285200000000",
"number": "1700835006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "758 E COTTONTAIL RUN",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863267072",
"telephone_number": "928-634-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 S WILLARD ST",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863264127",
"telephone_number": "928-634-7000",
"fax_number": "928-634-5649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUEGER",
"first_name": "CORY",
"middle_name": "SCOTT",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-06",
"last_updated": "2010-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "36238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cottonwood, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.