Individual provider Active NPI

Joseph Heinrick Marceny, MD

  • Pediatrics Physician
  • Garden City, KS
National Provider Identifier
1205890480
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
04-51903 Issued in KS
Practice address
311 E Spruce St
Garden City, KS 67846-5614
Phone
(620) 275-3730
Fax
(620) 275-3767
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 04-51903 KS Primary
Pediatrics Physician 208000000X DR.0036109 CO

Addresses

Primary practice location

311 E Spruce St
Garden City, KS 67846-5614

Mailing address

PO Box 803929
Kansas City, MO 64180-3929
Phone (800) 347-3295

Other practice location 1

6065 S Quebec St
Ste 100
Englewood, CO 80111
Phone (303) 694-2323

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
I20251010000512 KS Practitioner - Pediatric Medicine 2062919426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9100 E Mineral Cir
Centennial, CO 80112-3401

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0036109COMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonspirit Kansas, Inc. Current Accepting new patients
St Catherine Hospital Pediatrics CurrentSince Nov 1, 2025 Accepting new patients
Commonspirit Kansas, Inc. Pediatrics CurrentSince Nov 1, 2025 Accepting new patients
Pediatric Pathways Pediatrics Past Accepting new patients
Portercare Adventist Health System Past Accepting new patients
Pediatric Journeys LLC Pediatrics PastSince Sep 1, 2025 Accepting new patients

Locations

100 W Ross Blvd
Ste 1B
Dodge City, KS 67801
Phone (620) 371-5576

401 E Spruce St
Garden City, KS 67846
Phone (620) 272-2222

311 E Spruce St
Garden City, KS 67846
Phone (620) 271-3139

Organizations & group practices 6

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1205890480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 803929",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641803929",
            "telephone_number": "800-347-3295",
            "fax_number": "303-765-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E SPRUCE ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465614",
            "telephone_number": "620-275-3730",
            "fax_number": "620-275-3767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6065 S Quebec St",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "80111",
            "country_code": "US",
            "telephone_number": "303-694-2323",
            "fax_number": "303-694-9191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCENY",
        "first_name": "JOSEPH",
        "middle_name": "HEINRICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "04-51903",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "DR.0036109",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, KS

Sources for this page

Verify at the official NPI Registry.