Individual provider Active NPI

Kevin Wayne Hamburger, M.D.

  • Obstetrics & Gynecology Physician
  • Sioux City, IA
National Provider Identifier
1114919909
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
29099 Issued in IA
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

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7765800MedicaidSD
0906784MedicaidIA

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100609000322 SD Practitioner - Obstetrics/Gynecology 5890865877 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29099IAMDObstetrics & 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.

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

Verify at the official NPI Registry.