NPIMap

Individual provider Active NPI

Dorothy Breault, M.D.

  • Family Medicine Physician
  • Concordia, KS
National Provider Identifier
1245458256
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0434629 Issued in KS
Practice address
1100 Highland Dr
3Rd Floor
Concordia, KS 66901-3923
Phone
(785) 243-4272
Fax
(785) 243-4275
NPI assigned
Apr 23, 2007
Last updated
Mar 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0434629 KS Primary

Addresses

Primary practice location

1100 Highland Dr
3Rd Floor
Concordia, KS 66901-3923

Mailing address

1100 Highland Dr
3Rd Floor
Concordia, KS 66901-3923
Phone (785) 243-4272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101120000067 KS Practitioner - Family Practice 2769678499 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cloud County Health Center IncGroup PAC ID 4082522859, shared by 4 NPIs, 15 clinicians

Practice addresses (Care Compare)

155 W College Dr
Concordia, KS 66901-5207
Phone (785) 243-1234

311 Washington St
Clyde, KS 66938-9664
Phone (785) 243-4272

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.54 of 100Reported as group
Quality
74.55
Promoting interoperability
100
Improvement activities
40
Cost
53.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions17

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cloud County Health Center Inc CurrentSince Aug 19, 2014 Accepting new patients
Cloud County Health Center Inc CurrentSince Aug 19, 2014 Accepting new patients
Cloud County Health Center Inc CurrentSince Jan 1, 2025 Accepting new patients
Sunset Home, Inc. Past Accepting new patients

Locations

155 W College Dr
Concordia, KS 66901
Phone (785) 243-1234

311 Walnut St
Jamestown, KS 66948
Phone (785) 243-4272

Interoperability endpoints

  • Direct secure messaging: dorothy.breault@khindirect.org
  • Direct secure messaging: dorothy.breault@srhcdirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1245458256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 HIGHLAND DR",
            "address_2": "3RD FLOOR",
            "city": "CONCORDIA",
            "state": "KS",
            "postal_code": "669013923",
            "telephone_number": "785-243-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 HIGHLAND DR",
            "address_2": "3RD FLOOR",
            "city": "CONCORDIA",
            "state": "KS",
            "postal_code": "669013923",
            "telephone_number": "785-243-4272",
            "fax_number": "785-243-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREAULT",
        "first_name": "DOROTHY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0434629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concordia, KS

Sources for this page

Verify at the official NPI Registry.