Individual provider Active NPI

Dale D Dalenberg, M.D.

  • Orthopaedic Surgery Physician
  • Ottawa, KS
National Provider Identifier
1245313691
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0422901 Issued in KS
Practice address
1301 S Main St
Ottawa, KS 66067-3537
Phone
(785) 229-8389
Fax
(785) 229-3335
NPI assigned
Oct 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 0422901 KS Primary
Orthopaedic Surgery Physician 207X00000X 2010006907 MO

Addresses

Primary practice location

1301 S Main St
Ottawa, KS 66067-3537

Mailing address

1301 S Main St
Ottawa, KS 66067-3537
Phone (758) 229-8200

Other identifiers 2

IdentifierTypeStateIssuer
100157550BMedicaidKS
23737030OtherMOBCBS KCMO CUSHING HOSPITAL PHYSICIAN SERVICES GROUP 43113013

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
I20050523000529 KS Practitioner - Orthopedic Surgery 6204878002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Arizona College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventhealth Ransom Memorial IncGroup PAC ID 4486996907, 40 clinicians

Practice addresses (Care Compare)

1301 S Main St
Adventhealth Medical Group
Ottawa, KS 66067-3537
Phone (785) 229-3367

Hospital & facility affiliations

  • Adventhealth Ottawa Hospital, Ottawa, KS, CCN 170014

Merit-based Incentive Payment System (MIPS)

Final score
75.72 of 100Reported as group
Quality
57.99
Promoting interoperability
100
Improvement activities
40
Cost
61.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0422901KSMDOrthopaedic Surgery Physician
2010006907MOMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventhealth Ransom Memorial, Inc. CurrentSince May 1, 2019 Accepting new patients
Adventhealth Ransom Memorial, Inc. CurrentSince May 1, 2019 Accepting new patients
Cushing Hospital Physician Services L.L.C. Orthopaedic Surgery Past Accepting new patients
Leavenworth Bone and Joint Surgery Center, Inc. Orthopaedic Surgery PastSince May 12, 2003 Accepting new patients
Saint Luke'S Hospital of Trenton Orthopaedic Surgery Past Accepting new patients
Orthokc Professional Association Orthopaedic Surgery Past Accepting new patients

Locations

1301 S Main St
Ottawa, KS 66067
Phone (785) 229-3367

Interoperability endpoints

  • Direct secure messaging: ddalenberg661554@adventhealth.direct-ci.com

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1245313691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S MAIN ST",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660673537",
            "telephone_number": "758-229-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S MAIN ST",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660673537",
            "telephone_number": "785-229-8389",
            "fax_number": "785-229-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALENBERG",
        "first_name": "DALE",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-21",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KS",
            "license": "0422901",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "2010006907",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100157550B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KCMO CUSHING HOSPITAL PHYSICIAN SERVICES GROUP 43113013",
            "identifier": "23737030",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottawa, KS

Sources for this page

Verify at the official NPI Registry.