Individual provider Active NPI

Justin J Kruer, M.D.

  • Interventional Pain Medicine Physician
  • Erlanger, KY
National Provider Identifier
1821055971
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
77401 Issued in MT
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

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100037780MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070924000136 KY Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 9931293834 Reassigns benefits to 1 organization
I20150519001408 OH Practitioner - Pain Management 9931293834 Reassigns benefits to 1 organization

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
Beacon Orthopaedics and Sports Medicine LTDGroup PAC ID 0345136412, 471 clinicians

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 Hospital, Edgewood, KY, CCN 180035
  • St Elizabeth Florence Hospital, Florence, KY, CCN 180045

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
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

LicenseStateTypeSpecialty
35168AZMDPain Medicine Physician
77401MTMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Orthopaedics & Sports Medicine LTD CurrentSince Oct 9, 2013 Accepting new patients
Beacon Orthopaedics & Sports Medicine, LTD CurrentSince Oct 9, 2013 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

  • Direct secure messaging: jkruer26490@direct-prd.stelizabeth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.