Individual provider Active NPI

Perry N Schuetz, M.D.

  • Ophthalmology Physician
  • Great Bend, KS
National Provider Identifier
1114928645
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
15160KS Issued in KS
Practice address
1422 Polk St
Great Bend, KS 67530-3619
Phone
(620) 793-8414
Fax
(620) 793-5923
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 15160KS KS Primary

Addresses

Primary practice location

1422 Polk St
Great Bend, KS 67530-3619

Mailing address

1422 Polk St
Great Bend, KS 67530-3619
Phone (620) 793-8414

Other identifiers 1

IdentifierTypeStateIssuer
100086110AMedicaidKS

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
I20050512000678 KS Practitioner - Ophthalmology 0840231569 Practice locations: Great Bend, KS

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Kansas School of Med (KC/Wich/Sal), 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1422 Polk St
Great Bend, KS 67530-3619
Phone (620) 793-8414

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15160KSKSMDOphthalmology Physician

Interoperability endpoints

  • Direct secure messaging: perry.schuetz@khindirect.org

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1114928645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 POLK ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675303619",
            "telephone_number": "620-793-8414",
            "fax_number": "620-793-5923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 POLK ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675303619",
            "telephone_number": "620-793-8414",
            "fax_number": "620-793-5923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUETZ",
        "first_name": "PERRY",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "15160KS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100086110A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Bend, KS

Sources for this page

Verify at the official NPI Registry.