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
Hospital & facility affiliations 8
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
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
- Overland Park Reg Med Ctr
- University of Kansas Hospital
- Adventhealth Shawnee Mission
- Menorah Medical Center
- Saint Luke'S South Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 15 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100324000746 | KS | Practitioner - Family Practice | 3274668660 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0424669 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| College Park Family Care Center PA | Family Medicine | Current | Accepting new patients |
| Overland Park Surgical Specialties LLC | Family Medicine | Current |
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
- david.dobratz@hca2.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | david.dobratz@cpfc.eclinicaldirectplus.com |
NPI Registry JSON
{
"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
- Andrea Arlotti Dlugosch
- Dmmkp Corporation
- Tho Huu DO
- Robin Doak
- Wayne Dobbins
- Matthew Stephen Dobratz
- John R Dobson
- Robert J Dockhorn
- Susan W. Docking
- Holly Miles Dodd
All providers in Overland Park, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2022. 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.