Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JORDAN KRUEGER DO
NPI 1154019131
Internal Medicine in Wauwatosa, WI

Q: What is Jordan Krueger's NPI number?

The NPI number for Jordan Krueger is 1154019131. It was assigned to this individual provider in the NPPES registry on April 27, 2023.

Q: What is Jordan Krueger's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Krueger was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 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.

Active since April 27, 2023PECOS Enrolled

3289 N MAYFAIR RD, WAUWATOSA, WI 53222(414) 771-7900 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Jordan Krueger Do NPPES

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

JORDAN KRUEGER DO (NPI 1154019131) is an individual internal medicine provider in Wauwatosa, Wisconsin, licensed in Wisconsin (82218-21) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2023).

NPPES Registry Identity

NPI1154019131

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJORDAN KRUEGERCredential: DO

Location Address3289 N MAYFAIR RDWauwatosa, WI 53222-3203

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(414) 771-7900

Sole ProprietorNo

Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2023

Enumeration DateApril 27, 2023

Last NPPES UpdateSeptember 10, 2026

NPPES CertifiedSeptember 10, 2026

✔ NPI 1154019131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in WI · 82218-21✔ Licensed in IL · 125081387

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

3289 N MAYFAIR RD, Wauwatosa, WI 53222

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Secondary Practice Location 1

Location 11901 W Harrison StChicago, IL 60612-3714 · Phone (312) 864-6000

Other Identifiers 1

Medicaid100427247WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID4486012499

PECOS Enrollment IDI20260821001141

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jordan Krueger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aurora Advanced Healthcare, Inc.

7.0 mi

Family Medicine

3003 W GOOD HOPE RD
Milwaukee, WI 53209

Reassigned Medicare billing, Wisconsin enrollment
1,615 clinicians in this Medicare group

NPI 1265629133 (414) 352-3100

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53222 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

GEETHA GANESAN M.D.

Internal Medicine