Active NPI
John Krueger, MD
- Family Medicine Physician
- Lawrence, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0055900
- Practice address
- 73D Winthrop Ave
Lawrence, MA 01843-3716 - Phone
- (978) 686-3017
- Fax
- (978) 685-4280
- NPI assigned
- Dec 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 226657 | MA | |
| Family Medicine Physician | 207Q00000X | 0055900 | CO | Primary |
Addresses
Primary practice location
73D Winthrop Ave
Lawrence, MA 01843-3716
Mailing address
73D Winthrop Ave
Lawrence, MA 01843-3716
Phone (978) 686-3017
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0055900 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Colorado Permanente Medical Group, P.C. | Current | Accepting new patients | |
| New West Physicians Inc | Family Medicine | Current | Accepting new patients |
| Sutter Bay Medical Foundation | Family Medicine | Current | Accepting new patients |
| Sutter East Bay Medical Foundation | Family Medicine | Past | Accepting new patients |
Locations
18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590
350 John Muir Pkwy
Ste 160
Brentwood, CA 94513
Phone (925) 204-1920
1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911
151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505
3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847
3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750
1210 Sonoma Ave
Ste B
Santa Rosa, CA 95405
Phone (707) 544-5093
1210 Sonoma Ave
Ste A
Santa Rosa, CA 95405
Phone (707) 523-7185
10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488
550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865
12001 W 63rd Pl
Arvada, CO 80004
Phone (303) 423-1360
7950 Kipling St
Ste 101
Arvada, CO 80005
Phone (303) 425-4680
1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120
10350 E Dakota Ave
Denver, CO 80247
Phone (303) 636-3350
1707 Cole Blvd
Ste 100
Lakewood, CO 80401
Phone (303) 716-8013
7701 Sheridan Blvd
Westminster, CO 80003
Phone (303) 471-7700
Interoperability endpoints
- jkrueger718785@hisp.ehr.sutterhealth.org
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.
-
dba CPMG
- Internal Medicine Physician
- Denver, CO
- NPI 1760599724
-
dba Palo Alto Medial Foundation
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
- Federally Qualified Health Center (FQHC)
- Colorado Springs, CO
- NPI 1730166034
-
dba Sutter East Bay Medical Foundation
- Multi-Specialty Clinic/Center
- Orinda, CA
- NPI 1366898538
Family Medicine
-
dba Palo Alto Medical Foundation
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
-
- Family Medicine Physician
- Orinda, CA
- NPI 1871538769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526428800000",
"number": "1972588929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73D WINTHROP AVE",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018433716",
"telephone_number": "978-686-3017",
"fax_number": "978-685-4280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73D WINTHROP AVE",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018433716",
"telephone_number": "978-686-3017",
"fax_number": "978-685-4280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUEGER",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-13",
"last_updated": "2018-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "226657",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "0055900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.