NPIMap

Individual provider Active NPI

Douglas J Gruenbacher, MD

  • Family Medicine Physician
  • Quinter, KS
National Provider Identifier
1376597872
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28949 Issued in KS
Practice address
501 Garfield St
Quinter, KS 67752-9795
Phone
(785) 754-3333
Fax
(785) 754-2335
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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 28949 KS Primary

Addresses

Primary practice location

501 Garfield St
Quinter, KS 67752-9795

Mailing address

501 Garfield St
Quinter, KS 67752-9795
Phone (785) 754-3333

Other identifiers 2

IdentifierTypeStateIssuer
102120OtherKSBCBS
100420600AMedicaidKS

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
I20100120000784 KS Practitioner - Family Practice 6103992961 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gove County Medical CenterGroup PAC ID 5799672499, shared by 3 NPIs, 6 clinicians

Practice addresses (Care Compare)

520 W 5TH St
Quinter, KS 67752-9705
Phone (785) 754-3341

Hospital & facility affiliations

  • Angels Care Home Health of Dodge City Home health agency, Wa Keeney, KS, CCN 178116
  • Good Samaritan Society Northwest Kansas Home Care Home health agency, St Francis, KS, CCN 178050
  • Gove County Medical Center Hospital, Quinter, KS, CCN 171367
  • Sheridan County Hospital Hospital, Hoxie, KS, CCN 171347
  • Logan County Hospital Hospital, Oakley, KS, CCN 171326
  • Trego County Lemke Memorial Hospital Hospital, Wakeeney, KS, CCN 171355
  • Hays Medical Center Hospital, Hays, KS, CCN 170013
  • Gove County Medical Center Nursing home, CCN 17Z367

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28949KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gove County Medical Center Current Accepting new patients
Gove County Medical Center CurrentSince Dec 4, 2023 Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients
Gove County Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: doug.gruenbacher@khindirect.org

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1376597872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 GARFIELD ST",
            "city": "QUINTER",
            "state": "KS",
            "postal_code": "677529795",
            "telephone_number": "785-754-3333",
            "fax_number": "785-754-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 GARFIELD ST",
            "city": "QUINTER",
            "state": "KS",
            "postal_code": "677529795",
            "telephone_number": "785-754-3333",
            "fax_number": "785-754-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUENBACHER",
        "first_name": "DOUGLAS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "28949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "102120",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100420600A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quinter, KS

Sources for this page

Verify at the official NPI Registry.