NPIMap

Individual provider Active NPI

Lora Ann Siegle, M.D.

  • Family Medicine Physician
  • Council Grove, KS
National Provider Identifier
1407815376
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0421060 Issued in KS
Practice address
604 N Washington St
Council Grove, KS 66846-1422
Phone
(620) 767-5126
Fax
(620) 767-6910
NPI assigned
Mar 20, 2006
Last updated
Mar 6, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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 0421060 KS Primary

Addresses

Primary practice location

604 N Washington St
Council Grove, KS 66846-1422

Mailing address

604 N Washington St
Council Grove, KS 66846-1422
Phone (620) 767-5126

Other names 1

  • Ms. Lora Ann Heptig Former name

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
I20050414000862 KS Practitioner - Family Practice 2163469735 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morris County HospitalGroup PAC ID 8426096504, shared by 7 NPIs, 13 clinicians

Practice addresses (Care Compare)

411 Walnut St
MCH Professional Services
Cottonwood Falls, KS 66845-2818
Phone (620) 767-5126

600 N Washington St
Council Grove, KS 66846-1422
Phone (620) 767-6811

604 N Washington St
Council Grove, KS 66846-1422
Phone (620) 767-5126

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0421060KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morris County Hospital Family Medicine CurrentSince Oct 11, 2018 Accepting new patients
Morris County Hospital Family Medicine CurrentSince Oct 11, 2018 Accepting new patients
Morris County Hospital Current Accepting new patients
Morris County Hospital Past Accepting new patients
Morris County Hospital Past Accepting new patients
Morris County Hospital Past Accepting new patients
Diversicare of Council Grove LLC PastSince Jun 15, 2016 Accepting new patients

Locations

411 S Walnut St
Cottonwood Falls, KS 66845
Phone (620) 273-6131

221 Hockaday St
Council Grove, KS 66846
Phone (620) 767-5126

600 N Washington St
Council Grove, KS 66846
Phone (620) 767-5126

604 N Washington St
Council Grove, KS 66846
Phone (620) 767-5126

604 N Washington St
#A
Council Grove, KS 66846

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Diversicare of Council GroveCouncil Grove, KS, CCN 175239 Skilled nursing facility Contracted Managing Employee
Adp of the SNF		 Jun 15, 2016
Dec 26, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1407815376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 N WASHINGTON ST",
            "city": "COUNCIL GROVE",
            "state": "KS",
            "postal_code": "668461422",
            "telephone_number": "620-767-5126",
            "fax_number": "620-767-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 N WASHINGTON ST",
            "city": "COUNCIL GROVE",
            "state": "KS",
            "postal_code": "668461422",
            "telephone_number": "620-767-5126",
            "fax_number": "620-767-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGLE",
        "first_name": "LORA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0421060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORA",
            "last_name": "HEPTIG",
            "middle_name": "ANN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Council Grove, KS

Sources for this page

Verify at the official NPI Registry.