Individual provider Active NPI

Emma Kruger, MD

  • Emergency Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1790977007
Registry record updated Oct 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD.201750 Issued in LA
Practice address
8480 Bluebonnet Blvd Suite a
Baton Rouge, LA 70810
Phone
(225) 767-0646
Fax
(225) 767-0647
NPI assigned
Aug 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD.201750 LA Primary

Addresses

Primary practice location

8480 Bluebonnet Blvd Suite a
Baton Rouge, LA 70810

Mailing address

4637 Burbank Drive #504
Baton Rouge, LA 70820
Phone (225) 288-7211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20211015001567 LA Practitioner - Emergency Medicine 2365514866 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.201750LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Hospital Service District of West Feliciana Parish Louisiana Emergency Medicine Current Accepting new patients
Hospital Service District No. 2 Past Accepting new patients

Locations

5266 Commerce St
Bldg B
Saint Francisville, LA 70775
Phone (225) 635-3811

5266 Commerce St
Bldg A
Saint Francisville, LA 70775
Phone (225) 635-2441

5266 Commerce St
St Francisvle, LA 70775
Phone (225) 635-3811

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.

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256860800000",
    "number": "1790977007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4637 BURBANK DRIVE #504",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70820",
            "telephone_number": "225-288-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8480 BLUEBONNET BLVD SUITE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70810",
            "telephone_number": "225-767-0646",
            "fax_number": "225-767-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUGER",
        "first_name": "EMMA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-10",
        "last_updated": "2009-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "MD.201750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.