NPIMap

Individual provider Active NPI

David G Pauls, MD

  • Surgery Physician
  • Manhattan, KS
National Provider Identifier
1669460564
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
04-22829 Issued in KS
Practice address
1133 College Ave
BLDG E-220
Manhattan, KS 66502-2777
Phone
(785) 539-5341
Fax
(785) 539-1238
NPI assigned
Oct 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0422829 KS
Surgery Physician 208600000X 04-22829 KS Primary

Addresses

Primary practice location

1133 College Ave
BLDG E-220
Manhattan, KS 66502-2777

Mailing address

1133 College Ave
BLDG E-220
Manhattan, KS 66502-2777
Phone (785) 539-5341

Other identifiers 1

IdentifierTypeStateIssuer
100141150AMedicaidKS

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
I20050405001125 KS Practitioner - General Surgery 5395792923 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Kansas School of Med (KC/Wich/Sal), 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgical Associates PAGroup PAC ID 2365497419, 3 clinicians
Clay County Medical CenterGroup PAC ID 6901959436, shared by 8 NPIs, 44 clinicians

Practice addresses (Care Compare)

1133 College Ave
Suite E220
Manhattan, KS 66502-2817
Phone (785) 539-5341

609 Liberty St
Clay Center, KS 67432-1564
Phone (785) 632-2181

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.31 of 100Reported as group
Quality
100
Improvement activities
40
Cost
84.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy27
Hernia repair - groin (open)1-10
Mastectomy11
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision16
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-22829KSMDSurgery Physician
0422829KSMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clay County Medical Center CurrentSince Dec 1, 2021 Accepting new patients
Surgical Associates, P.a. Surgery CurrentSince Dec 1, 1992 Accepting new patients
Clay County Medical Center Surgery Current Accepting new patients
Clay County Medical Center CurrentSince Dec 1, 2021 Accepting new patients
Clay County Medical Center Surgery Current Accepting new patients
Clay County Medical Center Past Accepting new patients

Locations

617 Liberty St
Clay Center, KS 67432
Phone (785) 632-2144

609 Liberty St
Clay Center, KS 67432
Phone (785) 632-2181

1133 College Ave
Ste E220
Manhattan, KS 66502
Phone (785) 539-5341

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/85e4e207-a7a6-47a1-8e35-8e04fe8019c4/

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
Manhattan Surgical HospitalManhattan, KS, CCN 170190 Hospital General Partnership Interest Sep 15, 1998

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 6

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 3

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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309132800000",
    "number": "1669460564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 COLLEGE AVE",
            "address_2": "BLDG E-220",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022777",
            "telephone_number": "785-539-5341",
            "fax_number": "785-539-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 COLLEGE AVE",
            "address_2": "BLDG E-220",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022777",
            "telephone_number": "785-539-5341",
            "fax_number": "785-539-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULS",
        "first_name": "DAVID",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2011-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "0422829",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "04-22829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100141150A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.