Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Peter G Kruk, MD

Individual provider Body Imaging Physician · NPI 1366480634

Peter G Kruk, MD is a Diagnostic Radiology in San Diego, California. Graduated from Indiana University School of Medicine in 2000, 26 years ago. Practices with Wishon Radiological Medical Group Inc, a 14-clinician group and accepts Medicare assignment. Licensed in California and Massachusetts.

Years since qualifying
26
Trained at
Indiana University School of Medicine
Licensed in
CA, MA
In the registry since
2006
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8745 Aero Dr Ste 200
San Diego, CA 92123-1761
Phone: (858) 565-0950
Fax: (858) 244-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 225096 (MA)
Body Imaging Physician Taxonomy 2085B0100X · Licence A96070 (CA)
Diagnostic Ultrasound Physician Taxonomy 2085U0001X · Licence A96070 (CA)
Neuroradiology Physician Taxonomy 2085N0700X · Licence A96070 (CA)
Nuclear Radiology Physician Taxonomy 2085N0904X · Licence A96070 (CA)
Pediatric Radiology Physician Taxonomy 2085P0229X · Licence A96070 (CA)

Record details

NPI number1366480634
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 2, 2006
Last updated in NPPESOctober 9, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Wishon Radiological Medical Group Inc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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