Individual provider Active NPI

Nathan Krug, MD

  • Family Medicine Physician
  • Grand Island, NE
National Provider Identifier
1861712721
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27861 Issued in NE
Practice address
720 N Webb Rd
Grand Island, NE 68803-3310
Phone
(308) 384-2500
Fax
(308) 384-2565
NPI assigned
Jun 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7396 KS
Family Medicine Physician 207Q00000X 27861 NE Primary

Addresses

Primary practice location

720 N Webb Rd
Grand Island, NE 68803-3310

Mailing address

720 N Webb Rd
Grand Island, NE 68803-3310
Phone (308) 384-2500

Other practice location 1

1010 N. Kansas
Wcgme
Wichita, KS 67214
Phone (316) 962-3030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20140709000512 NE Practitioner - Family PracticePractitioner - Sports Medicine 3375793458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
University of Nebraska College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Twin Rivers Urgent Care LLCGroup PAC ID 6406860543, 20 clinicians

Practice addresses (Care Compare)

3203 Osborne Dr W
Suite 101
Hastings, NE 68901-9140
Phone (402) 834-1005

720 N Webb Rd
Grand Island, NE 68803-3310

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7396KSMDFamily Medicine Physician

Organizations & group practices 1

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": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1861712721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N WEBB RD",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688033310",
            "telephone_number": "308-384-2500",
            "fax_number": "308-384-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N WEBB RD",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688033310",
            "telephone_number": "308-384-2500",
            "fax_number": "308-384-2565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 N. Kansas",
            "address_2": "WCGME",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "67214",
            "country_code": "US",
            "telephone_number": "316-962-3030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUG",
        "first_name": "NATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-02",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "7396",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "27861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

Verify at the official NPI Registry.