KATHERINE JANE KRUECK (M.D.) – Pediatric Emergency Medicine (Pediatrics) Physician, NPI 1568457273
Pediatric Emergency Medicine (Pediatrics) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for KATHERINE JANE KRUECK (M.D.)
7420, Gooding Boulevard, Orange Township, Delaware County, Ohio, 43015, United States
SUITE 100
DELAWARE, OH 430157086
Phone: (740) 657-8000
Fax: (740) 657-8100
Type: Location
Country Club Road, Columbus, Franklin County, Ohio, 43213, United States
SUITE A
COLUMBUS, OH 432132470
Phone: (614) 501-7337
Fax: (614) 434-2701
Type: Mailing
PO BOX 110429
AURORA, CO 800420429
Phone:
Type: Mailing
13123 E 16TH AVE
AURORA, CO 800457106
Phone: (720) 777-1234
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-10-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241030000087 | I | Emergency Medicine | CO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43015)
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