Individual provider Active NPI

David Micah Kruger, MD

  • Orthopaedic Surgery Physician
  • Vernon, CT
National Provider Identifier
1881684918
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
030753 Issued in CT
Practice address
224 Hartford Tpke
Vernon, CT 06066-4763
Phone
(860) 728-6740
Fax
(860) 547-1554
NPI assigned
Oct 28, 2005
Last updated
Aug 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 030753 CT Primary

Addresses

Primary practice location

224 Hartford Tpke
Vernon, CT 06066-4763

Mailing address

224 Hartford Tpke
Vernon, CT 06066-4763
Phone (860) 728-6740

Other identifiers 1

IdentifierTypeStateIssuer
D10030753CT01OtherANTHEM BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20101220001049 CT Practitioner - Orthopedic Surgery 8921108192

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Northwestern University Feinberg Medical School, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLean FundGroup PAC ID 0648247403, 105 clinicians

Practice addresses (Care Compare)

75 Great Pond Rd
Simsbury, CT 06070-1980

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion16
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
030753CTMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Confermed PC Orthopaedic Surgery Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: david.kruger.1@27677.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1881684918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 HARTFORD TPKE",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664763",
            "telephone_number": "860-728-6740",
            "fax_number": "860-547-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 HARTFORD TPKE",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664763",
            "telephone_number": "860-728-6740",
            "fax_number": "860-547-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUGER",
        "first_name": "DAVID",
        "middle_name": "MICAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CT",
            "license": "030753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "D10030753CT01",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

Verify at the official NPI Registry.