Individual provider Active NPI

Michael M Gnuechtel, D.O.

  • Otolaryngology Physician
  • Kerrville, TX
National Provider Identifier
1033101902
Registry record updated Mar 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
H8081 Issued in TX
Practice address
310 Wesley Dr
Kerrville, TX 78028-5822
Phone
(830) 895-4443
Fax
(830) 257-2077
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X H8081 TX Primary

Addresses

Primary practice location

310 Wesley Dr
Kerrville, TX 78028-5822

Mailing address

PO Box 293355
Kerrville, TX 78029-3355
Phone (830) 895-4443

Other identifiers 2

IdentifierTypeStateIssuer
096908102MedicaidTX
742906311OtherTXTAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080424000131 TX Practitioner - Otolaryngology 8123106614 Practice locations: Kerrville, TX

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of North Texas HSC, College of Osteopathic Med, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

310 Wesley Dr
Kerrville, TX 78028-5822
Phone (830) 895-4443

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H8081TXMDOtolaryngology Physician

Hospital & facility affiliations 3

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301270400000",
    "number": "1033101902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 293355",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780293355",
            "telephone_number": "830-895-4443",
            "fax_number": "830-257-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 WESLEY DR",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285822",
            "telephone_number": "830-895-4443",
            "fax_number": "830-257-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GNUECHTEL",
        "first_name": "MICHAEL",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2011-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "H8081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096908102",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "742906311",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

Verify at the official NPI Registry.