NPIMap

Timothy M Gronlie, M.D.

Individual provider Active NPI Vascular & Interventional Radiology Physician · Wichita, KS

NPI 1720007404 · NPPES record last updated Nov 20, 2023

Key facts

NPI
1720007404
Entity type
Individual (NPI type 1)
Primary specialty
Vascular & Interventional Radiology Physician 2085R0204X
License
0430825 (KS)
Practice address
550 N Hillside
Wichita, KS 67214-4910
Phone
(316) 962-2900
Fax
(316) 962-7815
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 37

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.

View all 37

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

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 Hospital (31 clinicians)
Hutchinson Regional Medical Center Inc (145 clinicians)
Hutchinson Clinic PA Inc (130 clinicians)
Southwest Medical Center (62 clinicians)
Wichita Radiological Group Prof Assoc (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

  • Wesley Medical Center Hospital · Wichita, KS · CCN 170123
  • Hutchinson Regional Medical Center Inc Hospital · Hutchinson, KS · CCN 170020
  • Coffey County Hospital Hospital · Burlington, KS · CCN 171385
  • William Newton Hospital Hospital · Winfield, KS · CCN 171383
  • SCK Health Hospital · Arkansas City, KS · CCN 170779

Merit-based Incentive Payment System (MIPS)

Final score
81.86 of 100 (group)
Quality
97.21
Improvement activities
40
Cost
44.65

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20060830000158 KS Practitioner - Diagnostic Radiology 5991709263 Reassigns benefits to 11 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-30825KSMDDiagnostic Ultrasound Physician

Practice roles

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

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

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

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

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

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

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

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

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0430825 KS
Vascular & Interventional Radiology Physician 2085R0204X 0430825 KS Yes
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

Other identifiers

IdentifierTypeStateIssuer
200385940CMedicaidKS
105646OtherKSBCBS

Other providers in Wichita, KS

All providers in Wichita, KS · Vascular & Interventional Radiology Physician in Kansas

Sources for this page

Verify at the official NPI Registry.