DR. RICHARD C KRUEGER M.D. PH.D. NPI 1497784862

NPI Information

NPI: 1497784862
Provider Name: DR. RICHARD C KRUEGER, M.D., PH.D.
Classification: Pediatrics - 2080N0001X
Entity Type: Individual

Specialization: Neonatal-Perinatal Medicine

PECOS Registration: Yes

Address:
2836 W 98TH PL
EVERGREEN PARK, IL
ZIP 60805
Phone: (505) 506-1090
Get Directions

DR. Richard C Krueger, M.D., PH.D. is a neonatal-perinatal medicine pediatrics in Evergreen Park, IL. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. DR. Richard C Krueger, M.D., PH.D. NPI is 1497784862. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2836 W 98TH PL
EVERGREEN PARK, IL
ZIP 60805-613
Phone: (505) 506-1090
Fax: (888) 734-8467

The NPI 1497784862 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 enumeration date for this NPI number is 6/30/2006 and was last updated on 9/20/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	MD2006-0698	NEW MEXICO	No
2	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	036.084830	ILLINOIS	No
3	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	MD 60132358	WASHINGTON	No
4	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	01069425A	INDIANA	No
5	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	28859	OKLAHOMA	No
6	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	2012003667	MISSOURI	No
7	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	21987	MISSISSIPPI	No
8	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	G85014	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	201046030	MEDICAID	INDIANA
2	75929856	MEDICAID	CALIFORNIA
3	000000745199	OTHER	INDIANA	ANTHEM PROVIDER NUMBER

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: 5/5/2024

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »