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Deactivated NPI 1376548164 Deactivated / Inactive NPI Male Practitioner

Dr. Theodore Clair Kruse , MD

Internal Medicine • Bend, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Theodore Kruse has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 17, 2005
NPI Deactivation Date May 14, 2020
Total Practice Duration ~15 Years of Practice (2005 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Theodore Kruse, MD was a registered Internal Medicine practicing in Bend, OR. Throughout an active medical career spanning 15 years, Dr. Kruse provided care at the practice location at 2200 NE NEFF RD STE 200 until profile deactivation on 2020-05-14.

Practice Location & Contact Primary Location

Practice Address

2200 Ne Neff Rd Ste 200

Bend, OR 977014281

Telephone 5413823344
Fax 5413821681
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Bend, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.6 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
98 Specialists

Practicing in Bend, OR (2185 Statewide)

Telehealth Adoption Rate
31.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OR MD10811

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
David Kirkpatrick , PA

Physician Assistant - Medical

NPI 1003138256

Physician Assistant

Dr. Matthew Lilley , MD

Orthopaedic Surgery

NPI 1003166612

Doctor of Medicine (M.D.)

Dr. James Verheyden , MD

Orthopaedic Surgery - Hand Surgery

NPI 1013912591

Doctor of Medicine (M.D.)

Rachel Kosek

Physician Assistant

NPI 1043807894
NPI 1053350033

Certified Athletic Trainer, R

Christine Goodall , PA-C

Physician Assistant - Surgical

NPI 1053869685

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 14, 2020

Record deactivated on May 14, 2020

NPI Profile Active August 01, 2012

NPI status registered as active in NPPES database

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Updated Practice Location August 01, 2012

Registered at 2200 NE NEFF RD STE 200, BEND, OR 977014281 (Tel: 5413823344)

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Updated Business Mailing Address August 01, 2012

Registered at 2200 NE NEFF RD STE 200, BEND, OR 977014281 (Tel: 5413823344)

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Provider Name / Credentials Updated August 01, 2012

Recorded as THEODORE KRUSE, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2012

Internal Medicine (License #MD10811 in OR)

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Initial NPI Registration & Enumeration June 17, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376548164
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2005
Last Update: August 01, 2012
Deactivation Date: May 14, 2020

Mailing Address

2200 Ne Neff Rd Ste 200

Bend, OR 977014281

Phone: 5413823344

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.