Active NPI
Michael Kreger, M.D.
- Anesthesiology Physician
- Dothan, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 36577
- 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
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 | |||
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Medical Center Enterprise
- Jackson Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36577 | AL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Alabama Surgery Center LLC | Anesthesiology | Current | Accepting new patients |
| Epix Anesthesia of Alabama LLC | Anesthesiology | Current | 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
- 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.
-
- Certified Registered Nurse Anesthetist
- Dothan, AL
- NPI 1902885874
-
- Ambulatory Surgical Clinic/Center
- Dothan, AL
- NPI 1346349164
Anesthesiology
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dothan, AL
- NPI 1164403861
-
- General Acute Care Hospital
- Enterprise, AL
- NPI 1720039712
-
- General Acute Care Hospital
- Marianna, FL
- NPI 1538108725
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.