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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

ELLEN MARIE KRUGGEL M.D.
NPI 1114917226
Pediatrics in Kentwood, MI

Active since October 28, 2005
4600 BRETON RD SE, SUITE 103, KENTWOOD, MI 49508(616) 656-8600(616) 656-8601 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ellen Marie Kruggel M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLEN MARIE KRUGGEL M.D. (NPI 1114917226) is an individual pediatrics provider in Kentwood, Michigan, licensed in Michigan (4301067448) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1114917226
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameELLEN MARIE KRUGGELCredential: M.D.
Location Address4600 BRETON RD SE, SUITE 103Kentwood, MI 49508-5262
Mailing Address4600 Breton Rd Se, Suite 103Kentwood, MI 49508-5262 · (616) 656-8600 · Fax (616) 656-8601
Phone(616) 656-8600
Fax(616) 656-8601
Sole ProprietorNo
Enumeration DateOctober 28, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1114917226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4301067448
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4600 BRETON RD SE, Kentwood, MI 49508
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Other Identifiers 1

Medicaid4695097MI

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SPECTRUM HEALTH PRIMARY CARE PARTNERS
Family Medicine
4600 BRETON RD SE, SUITE 102
KENTWOOD, MI 49508
Kent County (616) 391-9700
GEORGE S BRUINS MD
Family Medicine
4600 BRETON RD SE, STE 102
KENTWOOD, MI 49508
Kent County (616) 391-9700
NORA CHRISTINE PEIRANO PA
Physician Assistant
4600 BRETON RD SE, SUITE 102
KENTWOOD, MI 49508
Kent County (616) 391-9700
PEDIATRIC PARTNERS PLC
Pediatrics
4600 BRETON RD SE, SUITE 103
KENTWOOD, MI 49508
Kent County (616) 656-8600
DR. JASON ERIC ESSENBERG D.O.
Family Medicine
4600 BRETON RD SE, SUITE 102
KENTWOOD, MI 49508
Kent County (616) 391-9700
DR. BONNIE L. TAYLOR D.O.
Family Medicine
4600 BRETON RD SE, SUITE 102
KENTWOOD, MI 49508
Kent County (616) 391-9970
KAREN M REVITTE NP
Nurse Practitioner
4600 BRETON RD SE, SUITE 102
KENTWOOD, MI 49508
Kent County (616) 391-9700
LAUREL ANN TAYLOR M.D.
Pediatrics
4600 BRETON RD SE, SUITE 103
KENTWOOD, MI 49508
Kent County (616) 656-8600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellen Kruggel's NPI number?

The NPI number for Ellen Kruggel is 1114917226. It was assigned to this individual provider in the NPPES registry on October 28, 2005.

Where is Ellen Kruggel located?

Ellen Kruggel practices at 4600 Breton Rd SE Suite 103, Kentwood, MI 49508. The listed phone number is (616) 656-8600.

What is Ellen Kruggel's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Ellen Kruggel was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.