John M Kroener, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

G35262 Issued in CA

Practice address

3601 Vista Way Ste 203
Oceanside, CA 92056-4559

Phone

(760) 724-5352

Fax

(760) 724-5447

NPI assigned

Jun 16, 2005

Reactivated

Mar 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jkroener81223@scrippshlth.medalliesdirect.net
• Direct secure messaging: john.kroener.p2@direct.csmgvmed.nextgenshare.com

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.

• Scripps Health

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD
• Palomar Health

  • General Acute Care Hospital
  • Escondido, CA
  • NPI 1457321317
  NPD (past)
• Scripps Health

  • Clinical Medical Laboratory
  • La Jolla, CA
  • NPI 1427034990
  NPD (past)
• Tri-City Hospital

  • General Acute Care Hospital
  • Oceanside, CA
  • NPI 1801861190
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1932104890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 VISTA WAY STE 203",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564559",
            "telephone_number": "760-724-5352",
            "fax_number": "760-724-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 VISTA WAY STE 203",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564559",
            "telephone_number": "760-724-5352",
            "fax_number": "760-724-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROENER",
        "first_name": "JOHN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2016-11-01",
        "deactivation_date": "2006-03-18",
        "reactivation_date": "2006-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "G35262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G352620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jared Kressin
• Anna E Krevi, PT, DPT
• Sunshine M Krewson
• Carlee Krichmar
• Kristen M Nassery MD Inc
• Joshua Andrew Krolicki, AMFT
• Dana Kent Krone, RD
• Kelly Kropko, P.T.
• Mark Joseph Krupp, D.D.S., M.S.
• Denise Marie Kruszewski, PH.D.

• Vascular Surgery Physician in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.