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PETER G KRUK M.D. NPI 1366480634


NPI Information

NPI: 1366480634
Provider Name: PETER G KRUK, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP INC

PECOS Registration: Yes

Address:
8745 AERO DR
SUITE 200
SAN DIEGO, CA
ZIP 92123
Phone: (858) 565-0950
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Peter G Kruk, M.D. is a diagnostic radiology radiology in San Diego, CA with 24 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Peter G Kruk, M.D. NPI is 1366480634. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2000

The provider's business location address is:

8745 AERO DR
SUITE 200
SAN DIEGO, CA
ZIP 92123-761
Phone: (858) 565-0950
Fax: (858) 244-1100

The NPI 1366480634 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view, front (HCPCS:71010)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)

The enumeration date for this NPI number is 6/2/2006 and was last updated on 10/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085B0100XRadiologyBody ImagingA96070CALIFORNIANo
22085U0001XRadiologyDiagnostic UltrasoundA96070CALIFORNIANo
32085N0700XRadiologyNeuroradiologyA96070CALIFORNIANo
42085N0904XRadiologyNuclear RadiologyA96070CALIFORNIANo
52085P0229XRadiologyPediatric RadiologyA96070CALIFORNIANo
62085R0202XRadiologyDiagnostic Radiology225096MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0083815MEDICAIDCALIFORNIA
2TD009AMEDICARE PINCALIFORNIA
3GR0083817MEDICAIDCALIFORNIA
4TD009BMEDICARE PINCALIFORNIA
5I59180MEDICARE UPINCALIFORNIA
6ZZZ75341ZMEDICAIDCALIFORNIA
7W529AMEDICARE PINCALIFORNIA
8HW529BMEDICARE PINCALIFORNIA
9GR0083813MEDICAIDCALIFORNIA
10GR0083816MEDICAIDCALIFORNIA
11GR0083812MEDICAIDCALIFORNIA
12GR0083811MEDICAIDCALIFORNIA
13GR0083814MEDICAIDCALIFORNIA
14GR0083810MEDICAIDCALIFORNIA
15TP110MEDICARE PINCALIFORNIA
16HW529MEDICARE PINCALIFORNIA
17HW529AMEDICARE PINCALIFORNIA
18W529MEDICARE PINCALIFORNIA
19TD009MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.