Individual provider Active NPI

William Roice Krueger, D.O.

  • Diagnostic Radiology Physician
  • Rochester, MN
National Provider Identifier
1881661783
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
53380 Issued in MN
Practice address
200 1St St SW
Rochester, MN 55905-0001
Phone
(507) 284-2511
NPI assigned
Mar 1, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Consultants a Professional Corp 11 clinicians
Tanana Chiefs Conference 148 clinicians
Fairbanks Ultrasound LLC. 8 clinicians
Alaska Native Tribal Health Consortium 605 clinicians

Practice addresses (Care Compare)

1650 Cowles St
Fairbanks, AK 99701-5907
Phone (907) 456-2784

1717 W Cowles St
Fairbanks, AK 99701-5926
Phone (907) 451-6682

3419 Airport Way
Suite D
Fairbanks, AK 99709-4765
Phone (907) 374-4644

4315 Diplomacy Dr
Anchorage, AK 99508-5926
Phone (907) 563-2662

Hospital & facility affiliations

  • Fairbanks Memorial Hospital Hospital, Fairbanks, AK, CCN 020012
  • Alaska Native Medical Center Hospital, Anchorage, AK, CCN 020026

Merit-based Incentive Payment System (MIPS)

Final score
40.48 of 100Reported as group
Quality
78.33
Improvement activities
0

Merit-based Incentive Payment System (MIPS)

Final score
70.59 of 100Reported as group
Quality
83.37
Promoting interoperability
100
Improvement activities
40
Cost
16.65

Merit-based Incentive Payment System (MIPS)

Final score
90.93 of 100Reported as group
Quality
70.1
Promoting interoperability
100
Improvement activities
40
Cost
83.01

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, AZ, TX, AK4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20110907001266 CO Practitioner - Diagnostic Radiology 6406048636 Reassigns benefits to 1 organization
I20161207001306 AZ Practitioner - Diagnostic Radiology 6406048636 Reassigns benefits to 2 organizations
I20230707000184 TX Practitioner - Diagnostic Radiology 6406048636 Reassigns benefits to 2 organizations
I20231024003845 AK Practitioner - Diagnostic Radiology 6406048636 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46720COMDDiagnostic Radiology Physician
53380MNMDDiagnostic Radiology Physician
2008-00808NCMDDiagnostic Radiology Physician
0102201435VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Health and Hospital Authority CurrentSince Mar 1, 2021 Accepting new patients
Tanana Chiefs Conference CurrentSince May 23, 2023 Accepting new patients
Denver Health and Hospital Authority CurrentSince Mar 1, 2021 Accepting new patients
Fairbanks Ultrasound, LLC. CurrentSince Aug 1, 2024 Accepting new patients
South Peninsula Hospital, Inc. Diagnostic Radiology CurrentSince Sep 2, 2023 Accepting new patients
Radiology Consultants a Professional Corp Diagnostic Radiology CurrentSince Dec 16, 2023 Accepting new patients
South Peninsula Hospital, Inc CurrentSince Sep 2, 2023 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Dec 12, 2023 Accepting new patients
Colorado Imaging Associates P C Diagnostic Radiology CurrentSince Oct 26, 2022 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Aug 8, 2022 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Jun 8, 2022 Accepting new patients
Tanana Chiefs Conference CurrentSince May 23, 2023 Accepting new patients
Mayo Clinic Past Accepting new patients

Locations

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

1650 Cowles St
Fairbanks, AK 99701
Phone (907) 452-8181

1717 W Cowles St
Fairbanks, AK 99701
Phone (907) 452-6682

1001 Noble St
Fairbanks, AK 99701
Phone (907) 276-2806

3419 Airport Way
Ste D
Fairbanks, AK 99709
Phone (907) 374-4644

570 Riverstone Way
Ste 2
Fairbanks, AK 99709
Phone (907) 458-8633

4300 Bartlett St
Homer, AK 99603
Phone (907) 235-0369

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

1501 N Campbell Ave
Tucson, AZ 85724
Phone (520) 626-7747

1625 N Campbell Ave
Tucson, AZ 85719

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

777 Bannock St
#3240
Denver, CO 80204
Phone (303) 602-2714

777 Bannock St
Denver, CO 80204

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

Interoperability endpoints

  • Direct secure messaging: wkrueger243995@direct.dhha.org

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0102201435 VA
Diagnostic Radiology Physician 2085R0202X 2008-00808 NC
Diagnostic Radiology Physician 2085R0202X 46720 CO
Diagnostic Radiology Physician 2085R0202X 105018 MN
Diagnostic Radiology Physician 2085R0202X 53380 MN Primary

Addresses

Primary practice location

200 1St St SW
Rochester, MN 55905-0001

Mailing address

200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Other identifiers 3

IdentifierTypeStateIssuer
P00918790OtherMNRAILROAD MEDICARE
ENROLLEDMedicaidMN
ENROLLEDMedicaidIA

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307923200000",
    "number": "1881661783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "507-284-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "507-284-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "WILLIAM",
        "middle_name": "ROICE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2011-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0102201435",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2008-00808",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "46720",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "105018",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "53380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00918790",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.