JEFFERY KEITH KRUEGER M D P A
NPI 1629344833
Surgery - Plastic and Reconstructive Surgery in Dallas, TX

Active since April 02, 2012
8220 WALNUT HILL LN, STE. 206, DALLAS, TX 75231(214) 739-5760(214) 739-5966 Get Directions Write a Review

NPPES record last updated: April 2, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jeffery Keith Krueger M D P A NPPES

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

JEFFERY KEITH KRUEGER M D P A (NPI 1629344833) is a healthcare organization registered as a plastic and reconstructive surgery in Dallas, Texas and active in the NPI registry since April 2012. The organization lists Jeffery Keith Krueger, President, as its authorized official.

NPPES Registry Identity

NPI1629344833
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameJEFFERY KEITH KRUEGER M D P A
Location Address8220 WALNUT HILL LN, STE. 206Dallas, TX 75231-4427
Mailing Address8220 Walnut Hill Ln, Ste. 206Dallas, TX 75231-4427 · (214) 739-5760 · Fax (214) 739-5966
Fax(214) 739-5966
Organization SubpartNo
Authorized OfficialJeffery Keith KruegerPresident · (214) 739-5760
Enumeration DateApril 2, 2012
✔ NPI 1629344833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in TX · K6769
Definition
A surgeon who specializes in plastic and reconstructive surgery.
8220 WALNUT HILL LN, Dallas, TX 75231

Other Identifiers 1

Medicare PIN00293QTX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Jeffery Keith Krueger M D P A 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 Jeffery Keith Krueger M D P A, which bills Medicare for the services this clinician delivers.

Clinician (1)

Plastic and Reconstructive Surgery
NPI 1417940099
8220 WALNUT HILL LN SUITE 206
Dallas, TX 75231
(214) 739-5760
✔ PECOS✔ Accepts MedicareSame address

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 Jeffery Keith Krueger M D P A's NPI number?

The NPI number for Jeffery Keith Krueger M D P A is 1629344833. It was assigned to this organization in the NPPES registry on April 2, 2012.

Where is Jeffery Keith Krueger M D P A located?

Jeffery Keith Krueger M D P A is located at 8220 Walnut Hill Ln Ste. 206, Dallas, TX 75231. The listed phone number is (214) 739-5760.

What is Jeffery Keith Krueger M D P A's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Jeffery Keith Krueger M D P A enrolled in Medicare?

Yes. Jeffery Keith Krueger M D P A is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jeffery Keith Krueger M D P A?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Jeffery Keith Krueger M D P A. 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 Jeffery Keith Krueger M D P A was last updated on April 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.