DR. RYAN JAMES KROG D.C.
NPI 1285230136
Chiropractor in Kingsford, MI

Active since December 07, 2020Accepts Medicare Assignment
601 S WESTWOOD AVE, KINGSFORD, MI 49802(906) 828-1384 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 6, 2024, May 10, 2022, Dec 10, 2020 (3 updates tracked since 2020).

About Dr. Ryan James Krog D.c. NPPES

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

DR. RYAN JAMES KROG D.C. (NPI 1285230136) is an individual chiropractor in Kingsford, Michigan, licensed in Michigan (2301401240) and active in the NPI registry since December 2020. He is a graduate of Palmer College Chiropractic - Davenport (2020).

NPPES Registry Identity

NPI1285230136
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. RYAN JAMES KROGCredential: D.C.
Location Address601 S WESTWOOD AVEKingsford, MI 49802-1111
Mailing Address601 S Westwood AveKingsford, MI 49802-1111 · (906) 828-1384
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2020
Enumeration DateDecember 7, 2020
Last NPPES UpdateJune 6, 20243 updates tracked since enumeration
NPPES CertifiedJune 6, 2024
✔ NPI 1285230136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MI · 2301401240
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
601 S WESTWOOD AVE, Kingsford, MI 49802

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ryan James Krog D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103239710
PECOS Enrollment IDI20220511001482

Medicare Billing Reassignment

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

Chiropractor
601 S WESTWOOD AVE
Kingsford, MI 49802
  • Reassigned Medicare billing, Michigan enrollment
  • 2 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 5

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

Physical Therapist
601 S WESTWOOD AVE
KINGSFORD, MI 49802
Physical Therapist
601 S WESTWOOD AVE
KINGSFORD, MI 49802
Chiropractor
601 S WESTWOOD AVE
KINGSFORD, MI 49802
Physical Therapist
601 S WESTWOOD AVE
KINGSFORD, MI 49802
Chiropractor
601 S WESTWOOD AVE
KINGSFORD, MI 49802

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 Ryan Krog's NPI number?

The NPI number for Ryan Krog is 1285230136. It was assigned to this individual provider in the NPPES registry on December 7, 2020.

Where is Ryan Krog located?

Ryan Krog practices at 601 S Westwood Ave, Kingsford, MI 49802. The listed phone number is (906) 828-1384.

What is Ryan Krog's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Ryan Krog enrolled in Medicare?

Yes. Ryan Krog is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ryan Krog's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Krog reassigns Medicare benefits to Iron Mountain Wellness Way LLC (Kingsford, MI). The 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 Ryan Krog's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ryan Krog was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.