Individual provider Active NPI

Michael Kreger, M.D.

  • Anesthesiology Physician
  • Dothan, AL
National Provider Identifier
1720407646
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
36577 Issued in AL
Practice address
1118 Ross Clark Cir Ste 700
Dothan, AL 36301
Phone
(334) 793-5105
NPI assigned
Apr 8, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X 36577 AL Primary

Addresses

Primary practice location

1118 Ross Clark Cir Ste 700
Dothan, AL 36301

Mailing address

1118 Ross Clark Cir Ste 700
Dothan, AL 36301-3043
Phone (334) 793-5105

Other practice location 1

1211 Medical Center Dr
2301 Vuh
Nashville, TN 37232-0004
Phone (615) 936-1830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180713000697 AL Practitioner - Anesthesiology 8123374725 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Consultants Medical Group PCGroup PAC ID 8628975935, 15 clinicians
Epix Anesthesia of Alabama LLCGroup PAC ID 8022300748, 35 clinicians

Practice addresses (Care Compare)

1450 Ross Clark Cir
Dothan, AL 36301-4765
Phone (334) 793-3244

400 E 10TH St
Anniston, AL 36207-4716
Phone (256) 235-5121

400 N Edwards St
Enterprise, AL 36330-2510
Phone (678) 580-1349

Hospital & facility affiliations

  • Southeast Health Medical Center Hospital, Dothan, AL, CCN 010001
  • Medical Center Enterprise Hospital, Enterprise, AL, CCN 010049
  • Jackson Hospital Hospital, Marianna, FL, CCN 100142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36577ALMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Alabama Surgery Center LLC Anesthesiology CurrentSince Jul 24, 2019 Accepting new patients
Epix Anesthesia of Alabama LLC Anesthesiology CurrentSince Jan 15, 2026 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

2800 Ross Clark Cir
Ste 3
Dothan, AL 36301
Phone (334) 793-3411

Interoperability endpoints

  • Direct secure messaging: mkreger11913@southeasthealth.direct-ci.com

Organizations & group practices 4

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 3

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": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1720407646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 ROSS CLARK CIR STE 700",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013043",
            "telephone_number": "334-793-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 ROSS CLARK CIR STE 700",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "36301",
            "telephone_number": "334-793-5105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 Medical Center Dr",
            "address_2": "2301 VUH",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372320004",
            "country_code": "US",
            "telephone_number": "615-936-1830",
            "fax_number": "615-936-3412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREGER",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-08",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "36577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.