Active NPI
Kevin Wayne Hamburger, M.D.
- Obstetrics & Gynecology Physician
- Sioux City, IA
National Provider Identifier
1114919909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 29099
- Practice address
- 1000 Jackson St
Sioux City, IA 51105-1431 - Phone
- (712) 252-0501
- Fax
- (712) 252-2024
- NPI assigned
- Aug 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 29099 | IA | Primary |
Addresses
Primary practice location
1000 Jackson St
Sioux City, IA 51105-1431
Mailing address
1000 Jackson St
Sioux City, IA 51105-1431
Phone (712) 252-0501
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7765800 | Medicaid | SD | |
| 0906784 | Medicaid | IA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kevin.hamburger@swhc.directbygreenway.com | Siouxland Women's Health Care, P.C. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29099 | IA | MD | Obstetrics & Gynecology Physician |
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Sioux City, IA
- NPI 1700878592
SD
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": "1659571200000",
"number": "1114919909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 JACKSON ST",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511051431",
"telephone_number": "712-252-0501",
"fax_number": "712-252-2024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 JACKSON ST",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511051431",
"telephone_number": "712-252-0501",
"fax_number": "712-252-2024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMBURGER",
"first_name": "KEVIN",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-17",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IA",
"license": "29099",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7765800",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0906784",
"state": "IA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kevin.hamburger@swhc.directbygreenway.com",
"affiliation": "Y",
"affiliationName": "Siouxland Women's Health Care, P.C.",
"address_1": "1000 Jackson St",
"city": "Sioux City",
"state": "IA",
"country_code": "US",
"postal_code": "511051431",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.