Active NPI
Cary Joseph Herl, MD
- Family Medicine Physician
- Manhattan, KS
National Provider Identifier
1619078797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0421450
- 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, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100162010D | Medicaid | KS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0421450 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smith Internal Medicine, P.a. | Past | Accepting new patients | |
| Midwest Prompt Care | Family Medicine | Past | Accepting new patients |
| Centerpointe Physicians PA | Family Medicine | Past | 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.
-
- Family Medicine Physician
- Manhattan, KS
- NPI 1265554893
-
- Internal Medicine Physician
- Manhattan, KS
- NPI 1003002478
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.