Active NPI
Justin J Kruer, M.D.
- Interventional Pain Medicine Physician
- Erlanger, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 77401
- Practice address
- 600 Rodeo Drive
Erlanger, KY 41018 - Phone
- (513) 354-3700
- Fax
- (513) 354-3705
- NPI assigned
- May 1, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 40993 | KY | |
| Pain Medicine Physician | 208VP0000X | 35168 | AZ | |
| Interventional Pain Medicine Physician | 208VP0014X | 40993 | KY | |
| Interventional Pain Medicine Physician | 208VP0014X | 77401 | MT | Primary |
Addresses
Primary practice location
600 Rodeo Drive
Erlanger, KY 41018
Mailing address
6480 Harrison Ave Ste 201
Cincinnati, OH 45247-7961
Phone (513) 354-3700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100037780 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- University of Louisville School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
463 Ohio Pike
Suite 201
Cincinnati, OH 45255-3744
Phone (513) 354-3700
600 Rodeo Dr
Erlanger, KY 41018-1279
Phone (513) 354-3700
Hospital & facility affiliations
- St Elizabeth Edgewood
- St Elizabeth Florence
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35168 | AZ | MD | Pain Medicine Physician |
| 77401 | MT | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Orthopaedics & Sports Medicine LTD | Current | Accepting new patients | |
| Beacon Orthopaedics & Sports Medicine, LTD | Current | Accepting new patients | |
| Neuroscience Associates of Northern Kentucky PSC | Past | Accepting new patients |
Locations
600 Rodeo Dr
Erlanger, KY 41018
Phone (513) 574-5400
775 Alexandria Pike
Fort Thomas, KY 41075
Phone (859) 572-1689
6480 Harrison Ave
Cincinnati, OH 45247
Phone (513) 251-7827
6480 Harrison Ave
Ste 201
Cincinnati, OH 45247
Phone (513) 354-7650
463 Ohio Pike
Ste 201
Cincinnati, OH 45255
Phone (513) 574-5400
500 E Business Way
Sharonville, OH 45241
Phone (513) 251-7827
Interoperability endpoints
- jkruer26490@direct-prd.stelizabeth.com
- justin.kruer.p1@direct.beaconortho.nextgenshare.com
Organizations & group practices 3
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.
-
- Orthopaedic Foot and Ankle Surgery Physician
- Worthington, OH
- NPI 1699472878
-
- Primary Care Nurse Practitioner
- Crestview Hills, KY
- NPI 1215936240
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Florence, KY
- NPI 1154365062
-
- General Acute Care Hospital
- Edgewood, KY
- NPI 1467492421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636502400000",
"number": "1821055971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6480 HARRISON AVE STE 201",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452477961",
"telephone_number": "513-354-3700",
"fax_number": "513-354-7651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 RODEO DRIVE",
"city": "ERLANGER",
"state": "KY",
"postal_code": "41018",
"telephone_number": "513-354-3700",
"fax_number": "513-354-3705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUER",
"first_name": "JUSTIN",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2021-11-10",
"certification_date": "2021-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "KY",
"license": "40993",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "AZ",
"license": "35168",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "KY",
"license": "40993",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "MT",
"license": "77401",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100037780",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Erlanger, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.