Robert W Grimes Jr., PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

15-00671 Issued in KS

Practice address

8919 Parallel Pkwy Ste 555
Kansas City, KS 66112-3628

Phone

(913) 596-3940

Fax

(913) 596-3730

NPI assigned

Dec 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Current Care of Kansas PAGroup PAC ID 5991029159, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• American Current Care of Kansas PA

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1851797989

  KS

  Medicare reassignment Care Compare group NPD
• Prime Healthcare Physician Services - Providence Inc

  • General Practice Physician
  • Shawnee, KS
  • NPI 1356683213
  Medicare reassignment NPD
• Providence Medical Group

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Kansas City, KS
  • NPI 1952947939
  NPD

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1598741472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8919 PARALLEL PKWY STE 555",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661123628",
            "telephone_number": "913-596-3940",
            "fax_number": "913-596-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8919 PARALLEL PKWY STE 555",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661123628",
            "telephone_number": "913-596-3940",
            "fax_number": "913-596-3730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3550 S 4th St Ste 115",
            "address_purpose": "LOCATION",
            "city": "Leavenworth",
            "state": "KS",
            "postal_code": "660485061",
            "country_code": "US",
            "telephone_number": "913-596-3940",
            "fax_number": "913-596-3730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "ROBERT",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "1500671",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KS",
            "license": "15-00671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PA LICENSE NUMBER",
            "identifier": "15-00671",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tomas L Griebling, MD
• Kellie Michelle Griffin, MD
• Rhyan Griffin
• Joel Kent Grigsby, M.D.
• Christine Danielle Grimes, CRNA
• Jordan Gronback, RN
• Gary S Gronseth, M.D.
• Ian Scott Groom, MD
• Judith M Gross, M. ED.
• Eric Grossenkemper

• Surgical Physician Assistant in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Surgical Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.