Individual provider Active NPI

David William Kruse, MD

  • Sports Medicine (Family Medicine) Physician
  • Anaheim, CA
National Provider Identifier
1891993150
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
A92859 Issued in CA
Practice address
2400 E Katella Ave Ste 400
Anaheim, CA 92806-5972
Phone
(310) 423-4566
Fax
(310) 423-9958
NPI assigned
Jul 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X A92859 CA Primary

Addresses

Primary practice location

2400 E Katella Ave Ste 400
Anaheim, CA 92806-5972

Mailing address

444 S San Vicente Blvd Ste 603
Los Angeles, CA 90048-4178
Phone (310) 423-4566

Other practice location 1

6801 Park Ter Ste 300
Los Angeles, CA 90045-9212
Phone (310) 423-4566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080908000334 CA Practitioner - Family Practice 1951477470 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, San Diego School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians
Cedars-Sinai Medical CenterGroup PAC ID 0446169114, 788 clinicians

Practice addresses (Care Compare)

2400 E Katella Ave
Suite 400
Anaheim, CA 92806-5972
Phone (310) 231-2121

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-3277

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

Merit-based Incentive Payment System (MIPS)

Final score
75.34 of 100Reported as group
Quality
48.62
Promoting interoperability
94
Improvement activities
40
Cost
74.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A92859CAMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of CurrentSince Jun 15, 2008 Accepting new patients
Cedars-Sinai Medical Center CurrentSince Dec 1, 2024 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Dec 1, 2024 Accepting new patients
Regents of the University of California CurrentSince Dec 10, 2009 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Dec 1, 2024 Accepting new patients
Cedars-Sinai Medical Center CurrentSince Dec 1, 2024 Accepting new patients
Providence Medical Foundation Past Accepting new patients

Locations

2400 E Katella Ave
Ste 400
Anaheim, CA 92806
Phone (714) 712-9222

6801 Park Ter
Ste 300
Los Angeles, CA 90045
Phone (310) 655-7200

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

444 S San Vicente Blvd
Los Angeles, CA 90048
Phone (213) 637-3700

6801 Park Ter
Ste 400
Los Angeles, CA 90045
Phone (310) 665-7180

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

280 S Main St
Ste 200
Orange, CA 92868
Phone (714) 937-2155

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

444 S San Vicente Blvd
Ste 603
West Hollywood, CA 90048
Phone (310) 423-1282

Interoperability endpoints

  • Direct secure messaging: dkruse514132@direct.cshs.org
  • Direct secure messaging: dkruse@direct.osiortho.nextgenshare.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1891993150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 S SAN VICENTE BLVD STE 603",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484178",
            "telephone_number": "310-423-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 E KATELLA AVE STE 400",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928065972",
            "telephone_number": "310-423-4566",
            "fax_number": "310-423-9958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6801 Park Ter Ste 300",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900459212",
            "country_code": "US",
            "telephone_number": "310-423-4566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUSE",
        "first_name": "DAVID",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "A92859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.