Individual provider Active NPI

Donald Gale Kruglet, M.D.

  • Family Medicine Physician
  • Fort Morgan, CO
National Provider Identifier
1932298270
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21235 Issued in CO
Practice address
102 W 9TH Ave
Fort Morgan, CO 80701-2012
Phone
(970) 867-5681
Fax
(970) 867-7361
NPI assigned
Oct 12, 2006
Last updated
Apr 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21235 CO Primary

Addresses

Primary practice location

102 W 9TH Ave
Fort Morgan, CO 80701-2012

Mailing address

102 W 9TH Ave
Fort Morgan, CO 80701-2012
Phone (970) 867-5681

Other identifiers 1

IdentifierTypeStateIssuer
01212356MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20100811001001 CO Practitioner - Family Practice 4486711132

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21235COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Plains Physician Practices LLC Family Medicine CurrentSince May 1, 2011 Accepting new patients

Locations

1000 Lincoln St
Ste 101
Fort Morgan, CO 80701
Phone (970) 542-4390

102 W 9th Ave
Fort Morgan, CO 80701
Phone (970) 867-2106

220 E Beaver Ave
Fort Morgan, CO 80701
Phone (970) 458-5216

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

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, 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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1932298270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W 9TH AVE",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807012012",
            "telephone_number": "970-867-5681",
            "fax_number": "970-867-7361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W 9TH AVE",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807012012",
            "telephone_number": "970-867-5681",
            "fax_number": "970-867-7361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUGLET",
        "first_name": "DONALD",
        "middle_name": "GALE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "21235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01212356",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Morgan, CO

Sources for this page

Verify at the official NPI Registry.