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KELLY M KRUEGER DO PLLC
NPI 1144551805
Family Medicine in Novi, MI

Active since January 20, 2010
39555 W 10 MILE RD, SUITE 305, NOVI, MI 48375(248) 426-7200(586) 426-7335 Get Directions Write a Review

NPPES record last updated: January 20, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelly M Krueger Do Pllc NPPES

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

KELLY M KRUEGER DO PLLC (NPI 1144551805) is a healthcare organization registered as a family medicine in Novi, Michigan and active in the NPI registry since January 2010. The organization lists Kelly M Krueger, Owner, as its authorized official.

NPPES Registry Identity

NPI1144551805
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKELLY M KRUEGER DO PLLC
Location Address39555 W 10 MILE RD, SUITE 305Novi, MI 48375-2950
Mailing Address39555 W 10 Mile Rd, Suite 305Novi, MI 48375-2950 · (248) 426-7200 · Fax (586) 426-7335
Phone(248) 426-7200
Fax(586) 426-7335
Organization SubpartNo
Authorized OfficialKelly M KruegerOwner · (248) 426-7200
Enumeration DateJanuary 20, 2010
✔ NPI 1144551805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 51010011317
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
39555 W 10 MILE RD, Novi, MI 48375
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Other Identifiers 3

Medicaid1487632014MI
Other0856338164MI · Bcbs
Medicare PIN0N62460MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly M Krueger Do Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kelly M Krueger Do PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kelly Krueger, D.O.
Family Practice
NPI 1487632014
39555 W. TEN MILE #302
Novi, MI 48375
(248) 426-7200
✔ PECOS✔ Accepts Medicare1.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kelly M Krueger Do PLLC's NPI number?

The NPI number for Kelly M Krueger Do PLLC is 1144551805. It was assigned to this organization in the NPPES registry on January 20, 2010.

Where is Kelly M Krueger Do PLLC located?

Kelly M Krueger Do PLLC is located at 39555 W 10 Mile Rd Suite 305, Novi, MI 48375. The listed phone number is (248) 426-7200.

What is Kelly M Krueger Do PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kelly M Krueger Do PLLC enrolled in Medicare?

Yes. Kelly M Krueger Do PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kelly M Krueger Do PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Kelly M Krueger Do PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kelly M Krueger Do PLLC was last updated on January 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.