Individual provider Active NPI

Timothy M Gronlie, M.D.

  • Vascular & Interventional Radiology Physician
  • Wichita, KS
National Provider Identifier
1720007404
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
0430825 Issued in KS
Practice address
550 N Hillside
Wichita, KS 67214-4910
Phone
(316) 962-2900
Fax
(316) 962-7815
NPI assigned
Jul 19, 2006
Last updated
Nov 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0430825 KS
Vascular & Interventional Radiology Physician 2085R0204X 0430825 KS Primary
Diagnostic Radiology Physician 2085R0202X 04-30825 KS
Diagnostic Ultrasound Physician 2085U0001X 0430825 KS
Diagnostic Ultrasound Physician 2085U0001X 04-30825 KS

Addresses

Primary practice location

550 N Hillside
Wichita, KS 67214-4910

Mailing address

551 N. Hillside
Suite 320
Wichita, KS 67214-4926
Phone (316) 685-1367

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
I20060830000158 KS Practitioner - Diagnostic Radiology 5991709263 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of North Dakota School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenwood County HospitalGroup PAC ID 0042129603, 31 clinicians
Hutchinson Clinic PA IncGroup PAC ID 5597658492, 130 clinicians
Southwest Medical CenterGroup PAC ID 7517941651, 62 clinicians
Wichita Radiological Group Prof AssocGroup PAC ID 6507762960, 26 clinicians

Practice addresses (Care Compare)

100 W 16TH St
Eureka, KS 67045-1064
Phone (620) 583-5274

1701 E 23Rd Ave
Hutchinson, KS 67502-1105

2101 N Waldron St
Hutchinson, KS 67502-1131
Phone (620) 669-2500

305 W 15TH St
Liberal, KS 67901-2455

315 W 15TH St
Liberal, KS 67901-2455
Phone (620) 624-1651

551 N Hillside St
Suite 320
Wichita, KS 67214-4926
Phone (316) 685-1367

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.86 of 100Reported as group
Quality
97.21
Improvement activities
40
Cost
44.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-30825KSMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hutchinson Clinic, P.a., Inc. CurrentSince Oct 13, 2025 Accepting new patients
Wichita Radiological Group Prof Assoc CurrentSince Feb 26, 2007 Accepting new patients
Southwest Medical Center Diagnostic Radiology CurrentSince Jan 17, 2026 Accepting new patients
Hutchinson Clinic, P.a., Inc. Current Accepting new patients
Premier Open MRI, Inc. Diagnostic Radiology CurrentSince Aug 1, 2012 Accepting new patients
Greenwood County Hospital CurrentSince Jul 1, 2025 Accepting new patients
Wichita Urology Group P.a. CurrentSince Jan 17, 2026 Accepting new patients
Hutchinson Regional Medical Center, Inc. Diagnostic Radiology CurrentSince Sep 20, 2024 Accepting new patients
Greenwood County Hospital CurrentSince Jul 1, 2025 Accepting new patients
Wesley Pathology Consultants PA Current Accepting new patients
Hutchinson Clinic, PA, Inc. CurrentSince Oct 13, 2025 Accepting new patients
Hutchinson Clinic, P.a., Inc. Current Accepting new patients
Hutchinson Regional Medical Center, Inc. CurrentSince Sep 20, 2024 Accepting new patients
Walnut Valley Imaging PA Diagnostic Radiology Past Accepting new patients
Vascular and Radiology Specialists LLC Vascular & Interventional Radiology Past Accepting new patients
Wichita Radiological Group Prof Assoc Past Accepting new patients
Kansas Spine Anesthesia Corporation PA PastSince Jan 17, 2026 Accepting new patients
Summit Surgical LLC Past Accepting new patients

Locations

1124 W 21st St
Andover, KS 67002
Phone (316) 300-4000

100 W 16th St
Eureka, KS 67045
Phone (620) 583-5274

1701 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 665-2117

1818 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 662-6000

2101 N Waldron St
Hutchinson, KS 67502
Phone (620) 669-2500

750 W D Ave
Kingman, KS 67068
Phone (620) 532-0295

315 W 15th St
Liberal, KS 67901
Phone (620) 624-1651

619 S Clark Ave
Lyons, KS 67554
Phone (620) 257-5173

2626 N Webb Rd
Wichita, KS 67226
Phone (316) 636-6100

500 S Main St
Wichita, KS 67202
Phone (316) 262-1103

550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239

551 N Hillside St
Ste 320
Wichita, KS 67214
Phone (316) 962-2000

9300 E 29th St N
Ste 206
Wichita, KS 67226
Phone (316) 260-6762

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 6

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1720007404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 N. HILLSIDE",
            "address_2": "SUITE 320",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144926",
            "telephone_number": "316-685-1367",
            "fax_number": "316-685-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N HILLSIDE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144910",
            "telephone_number": "316-962-2900",
            "fax_number": "316-962-7815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONLIE",
        "first_name": "TIMOTHY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "0430825",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "KS",
            "license": "0430825",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "04-30825",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "KS",
            "license": "0430825",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "KS",
            "license": "04-30825",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.