Peter G. Kruk, M.D.
NPI 1366480634ActiveIndividual· Radiology, Pediatric Radiology· San Diego, CA
Radiology, Pediatric Radiology (M.D.) in San Diego, California, trained at Indiana University School of Medicine (class of 2000). Medicare paid $22,664 for services to 315 patients in 2024.
Overview
| NPI | 1366480634 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 2, 2006 |
| Last updated in NPPES | Sep 29, 2026 |
| Certified by provider | Sep 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Pediatric Radiology Primary | 2085P0229X | A96070 | CA |
| Radiology, Neuroradiology | 2085N0700X | A96070 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 315 |
|---|---|
| Services billed | 3,908 across 79 procedure codes |
| Paid by Medicare | $22,664 |
Education and affiliations
| Medical school | Indiana University School of Medicine |
|---|---|
| Graduation year | 2000 |
| Medicare specialty | Diagnostic Radiology |
Medical groups
- San Diego Diagnostic Radiology Medical Group IncSan Diego, CA · 47 clinicians
- San Diego Imaging-Chula Vista LLCChula Vista, CA · 43 clinicians
- Wishon Radiological Medical Group IncMadera, CA · 13 clinicians
Hospital affiliations
- Rady Children's Hospital - San DiegoSan Diego, CA
- Sharp Coronado Hospital and Hlthcr CtrCoronado, CA
- Sharp Memorial HospitalSan Diego, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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