Individual provider Active NPI

Cary Joseph Herl, MD

  • Family Medicine Physician
  • Manhattan, KS
National Provider Identifier
1619078797
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0421450 Issued in KS
Practice address
1133 College Ave Ste D200
Manhattan, KS 66502-2776
Phone
(785) 539-0800
Fax
(785) 539-0811
NPI assigned
Sep 25, 2006
Last updated
Apr 3, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2015

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 0421450 KS Primary

Addresses

Primary practice location

1133 College Ave Ste D200
Manhattan, KS 66502-2776

Mailing address

1133 College Ave Ste D200
Manhattan, KS 66502-2776
Phone (785) 539-0800

Other identifiers 1

IdentifierTypeStateIssuer
100162010DMedicaidKS

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
I20040223000413 KS Practitioner - Family Practice 7618862657 Practice locations: Manhattan, KS

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0421450KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Smith Internal Medicine, P.a. Past Accepting new patients
Midwest Prompt Care Family Medicine PastSince Oct 1, 2003 Accepting new patients
Centerpointe Physicians PA Family Medicine PastSince Feb 15, 2022 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428019200000",
    "number": "1619078797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 COLLEGE AVE STE D200",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022776",
            "telephone_number": "785-539-0800",
            "fax_number": "785-539-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 COLLEGE AVE STE D200",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022776",
            "telephone_number": "785-539-0800",
            "fax_number": "785-539-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERL",
        "first_name": "CARY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2015-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0421450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100162010D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.