Individual provider Active NPI

David C. Grantham, M.D.

  • Surgery Physician
  • Wichita, KS
National Provider Identifier
1023247244
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
04-38125 Issued in KS
Practice address
818 N Emporia St Ste 200
Wichita, KS 67214-3788
Phone
(316) 263-0246
Fax
(316) 263-9523
NPI assigned
Jul 9, 2009
Last updated
Oct 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 04-38125 KS Primary

Addresses

Primary practice location

818 N Emporia St Ste 200
Wichita, KS 67214-3788

Mailing address

551 N Hillside St Ste 201
Wichita, KS 67214-4923
Phone (316) 263-0296

Other practice location 1

551 N Hillside St Ste 201
Wichita, KS 67214-4923
Phone (316) 263-0296

Other practice location 2

9350 E 35th St N Ste 103
Wichita, KS 67226-2022
Phone (316) 858-5000

Other names 1

  • David Courtney Grantham Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150722005867 KS Practitioner - General Surgery 5193957629 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Texas Medical Branch at Galveston, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wichita Surgical Specialists PAGroup PAC ID 6507840634, 60 clinicians

Practice addresses (Care Compare)

818 N Emporia St
Suite 200
Wichita, KS 67214-3726
Phone (316) 263-0296

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux18
Removal of tissue21
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Scott County Hospital Current Accepting new patients
Wichita Surgical Specialists PA Surgery CurrentSince Jul 1, 2015 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. Past Accepting new patients
Scott County Hospital Past Accepting new patients

Locations

201 Albert Ave
Scott City, KS 67871
Phone (620) 872-2187

551 N Hillside St
Ste 201
Wichita, KS 67214
Phone (316) 263-0296

818 N Emporia St
Ste 200
Wichita, KS 67214
Phone (316) 263-0296

9350 E 35th St N
Ste 103
Wichita, KS 67226
Phone (316) 858-5000

Networks

  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d

Interoperability endpoints

  • Direct secure messaging: david.grantham@khindirect.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/9fb5a2bd-a55d-48eb-b83b-63c1c6fa3826/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1023247244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 N HILLSIDE ST STE 201",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144923",
            "telephone_number": "316-263-0296",
            "fax_number": "316-263-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 N EMPORIA ST STE 200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143788",
            "telephone_number": "316-263-0246",
            "fax_number": "316-263-9523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "551 N Hillside St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672144923",
            "country_code": "US",
            "telephone_number": "316-263-0296",
            "fax_number": "316-263-9523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9350 E 35th St N Ste 103",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672262022",
            "country_code": "US",
            "telephone_number": "316-858-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANTHAM",
        "first_name": "DAVID",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-09",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "04-38125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "GRANTHAM",
            "middle_name": "COURTNEY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.