Nicola W Gathaiya, MD
Individual provider Active NPI Endocrinology, Diabetes & Metabolism Physician · Springfield, MO
NPI 1154513752 · NPPES record last updated Mar 7, 2013
Key facts
- NPI
- 1154513752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- License
- 2013003418 (MO)
- Practice address
- 960 E. Walnut Lawn
Suite 201
Springfield, MO 65807 - Phone
- (417) 269-4450
- Fax
- (417) 269-8333
- NPI assigned
- Aug 16, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 22
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Endocrinology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lester E Cox Medical Centers
Practice addresses (Care Compare)
3801 S National Ave 9TH FL
Glycemic MGMT Services
Springfield, MO 65807-5210
Phone (417) 269-5158
960 E Walnut Lawn
201 Adult Medicine and Endocrinology Speciali
Springfield, MO 65807-7865
Phone (417) 269-4450
Hospital & facility affiliations
- Cox Medical Centers
- Cox Medical Center Branson
- Cox Monett Hospital
- Freeman Health System - Freeman West
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.78 of 100
- Quality
- 74.39
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.21
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130812000263 | MO | Practitioner - Endocrinology |
9032259791 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013003418 | MO | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lester E Cox Medical Centers | Current |
Accepting new patients | |
| Lester E Cox Medical Centers | Current |
Accepting new patients | |
| Lester E Cox Medical Centers | Current |
Accepting new patients | |
| Lester E. Cox Medical Centers | Current | Accepting new patients | |
| Lester E Cox Medical Centers | Current |
Accepting new patients | |
| Lester E. Cox Medical Centers | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
525 Branson Landing Blvd
Ste 508
Branson, MO 65616
Phone (417) 335-7540
3801 S National Ave
Fl 5
Springfield, MO 65807
3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056
3801 S National Ave
Ste 1122
Springfield, MO 65807
960 E Walnut Lawn St
Ste 201
Springfield, MO 65807
Phone (417) 269-4450
Interoperability endpoints
- nicola.gathaiya@cernerdirect.coxhealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 51914 | MN | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 2013003418 | MO | Yes |
Addresses
Primary practice location
960 E. Walnut Lawn
Suite 201
Springfield, MO 65807
Mailing address
960 E. Walnut Lawn
Suite 201
Springfield, MO 65807
Phone (417) 269-4450
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ENROLLED | Medicaid | MN | |
| P00864005 | Other | MN | MEDICARE RAILROAD |
| ENROLLED | Medicaid | IA |
Other names
- Nicola W Mwirigi
Other providers in Springfield, MO
- Caitlin M Gasper
- Earl Peter Gassenberger Jr.
- Ryan T Gassin
- Grace L Gateley
- Gateway Counseling Center, Inc.
- Jennifer R Gaye
- Delia A Gayman
- Waseem Gazale
- Kristin Elizabeth Gearhart
- Karen Marie Gebhardt
All providers in Springfield, MO · Endocrinology, Diabetes & Metabolism Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.