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

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1487650339

Roger John Kruse, MD is a Family Practice in Toledo, Ohio. Graduated from University of Cincinnati College of Medicine in 1978, 48 years ago. Practices with Promedica Central Physicians, a 784-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
48
Trained at
University of Cincinnati College of Medicine
Licensed in
OH
In the registry since
2005
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

2865 N Reynolds Rd Ste 130
Toledo, OH 43615-2068
Phone: (419) 578-7036
Fax: (419) 537-5597
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 35043625 (OH)

Record details

NPI number1487650339
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 24, 2005
Last updated in NPPESNovember 3, 2023
Mailing address2865 N Reynolds Rd, Ste 130, Toledo, OH 43615-2068

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 1978 (48 years in practice)
Group practice Promedica Central Physicians — 784 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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