Tara Jill Grimaldi, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

04-32569 Issued in KS

Practice address

20930 W 151St
Olathe, KS 66061

Phone

(913) 782-2525

Fax

(913) 782-9307

NPI assigned

Jun 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Tara Jill Minard Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tgrimaldi755597@direct.kuha.org
• FHIR API: https://fhir-myrecord.cerner.com/r4/9997a5fc-aad4-42a6-b005-45276937bbd0/

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

• Jayhawk Primary Care Inc

  • Family Medicine Physician
  • Shawnee, KS
  • NPI 1528025053

  Pediatrics

  Medicare reassignment NPD
• Olathe Health Physicians, Inc.

  • Family Medicine Physician
  • Olathe, KS
  • NPI 1598784639
  Medicare reassignment
• Jayhawk Primary Care Inc

  • Internal Medicine Physician
  • Kansas City, KS
  • NPI 1376324152

  Pediatrics

  NPD
• Olathe Medical Center Inc

  • General Acute Care Hospital
  • Olathe, KS
  • NPI 1144266115
  NPD (past)
• Jayhawk Primary Care Inc

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1982665436
  NPD (past)

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320624000000",
    "number": "1043414105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20930 W 151ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "66061",
            "telephone_number": "913-782-2525",
            "fax_number": "913-782-9307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20930 W 151ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "66061",
            "telephone_number": "913-782-2525",
            "fax_number": "913-782-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMALDI",
        "first_name": "TARA",
        "middle_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2011-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "04-32569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200441540A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "MINARD",
            "middle_name": "JILL",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cecelia Greve, LPC
• Christobal Griese
• Sheyan Griffin
• Megan Griffith
• Rebecca J Griffith
• Keren Grimaldo
• Anne-Marie Grimm, LMSW
• Grin Eye Care
• Milton B Grin, MD
• Heather Ann Grisham, MD

• Pediatrics Physician in Olathe, KS
• Providers in Olathe, KS by specialty
• Pediatrics Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.