David E Dobratz, M.D.

Individual provider Active NPI Family Medicine Physician · Overland Park, KS

NPI 1245226166 · NPPES record last updated Feb 1, 2022

Key facts

NPI
1245226166
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
0424669 (KS)
Practice address
11725 W 112TH St
Overland Park, KS 66210-2761
Phone
(913) 469-5579
Fax
(913) 338-1311
NPI assigned
Sep 26, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 5

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Overland Park Surgical Specialties LLC (86 clinicians)

Practice addresses (Care Compare)

10500 Quivira Rd
Overland Park, KS 66215-2306
Phone (913) 541-5000

10600 Mastin St
Overland Park, KS 66212-5723

11725 W 112TH St
Overland Park, KS 66210-2761
Phone (913) 469-5452

Hospital & facility affiliations

  • Adventhealth Home Health Home health agency · Shawnee Mission, KS · CCN 178058
  • Overland Park Reg Med Ctr Hospital · Overland Park, KS · CCN 170176
  • University of Kansas Hospital Hospital · Kansas City, KS · CCN 170040
  • Adventhealth Shawnee Mission Hospital · Shawnee Mission, KS · CCN 170104
  • Menorah Medical Center Hospital · Overland Park, KS · CCN 170182
  • Saint Luke'S South Hospital Hospital · Overland Park, KS · CCN 170185

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions15
Removal or shaving of skin growth1-10
Skin biopsy1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20100324000746 KS Practitioner - Family Practice 3274668660 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0424669KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
College Park Family Care Center PA Family Medicine Current Accepting new patients
Overland Park Surgical Specialties LLC Family Medicine Current
since Jan 1, 2013
Accepting new patients
The Covenant Group PA Past Accepting new patients
College Park Family Care Center, P.a. Past Accepting new patients
College Park Family Care Center, P.a. Past Accepting new patients

Locations

20333 W 151st St
Olathe, KS 66061
Phone (888) 960-1393

10600 Mastin St
Ste C
Overland Park, KS 66212
Phone (913) 469-6447

10600 Mastin St
Ste A
Overland Park, KS 66212
Phone (913) 274-2600

11755 W 112th St
Ste 101
Overland Park, KS 66210
Phone (913) 469-0503

11755 W 112th St
Ste 202
Overland Park, KS 66210
Phone (913) 469-0433

11725 W 112th St
Ste 101
Overland Park, KS 66210

10500 Quivira Rd
Ste 130
Overland Park, KS 66215
Phone (913) 956-4200

11725 W 112th St
Overland Park, KS 66210
Phone (913) 469-5452

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

Interoperability endpoints

  • Direct secure messaging: david.dobratz@hca2.eclinicaldirectplus.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0424669 KS Yes

Addresses

Primary practice location

11725 W 112TH St
Overland Park, KS 66210-2761

Mailing address

PO Box 741331
Atlanta, GA 30374-1331
Phone (913) 469-0503

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address david.dobratz@cpfc.eclinicaldirectplus.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 1, 2022.

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1245226166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741331",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741331",
            "telephone_number": "913-469-0503",
            "fax_number": "913-469-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11725 W 112TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102761",
            "telephone_number": "913-469-5579",
            "fax_number": "913-338-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBRATZ",
        "first_name": "DAVID",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0424669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.dobratz@cpfc.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "11725 W 112th St",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662102761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Overland Park, KS

All providers in Overland Park, KS · Family Medicine Physician in Kansas

Sources for this page

Verify at the official NPI Registry.