Active NPI
Timothy M Gronlie, M.D.
- Vascular & Interventional Radiology Physician
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 0430825
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Hutchinson Regional Medical Center Inc
- Coffey County Hospital
- William Newton Hospital
- SCK Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.86 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 04-30825 | KS | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hutchinson Clinic, P.a., Inc. | Current | Accepting new patients | |
| Wichita Radiological Group Prof Assoc | Current | Accepting new patients | |
| Southwest Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Hutchinson Clinic, P.a., Inc. | Current | Accepting new patients | |
| Premier Open MRI, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Greenwood County Hospital | Current | Accepting new patients | |
| Wichita Urology Group P.a. | Current | Accepting new patients | |
| Hutchinson Regional Medical Center, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Greenwood County Hospital | Current | Accepting new patients | |
| Wesley Pathology Consultants PA | Current | Accepting new patients | |
| Hutchinson Clinic, PA, Inc. | Current | Accepting new patients | |
| Hutchinson Clinic, P.a., Inc. | Current | Accepting new patients | |
| Hutchinson Regional Medical Center, Inc. | Current | 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 | Past | 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.
-
- Internal Medicine Physician
- Hutchinson, KS
- NPI 1043298474
-
- Hospitalist Physician
- Hutchinson, KS
- NPI 1972605285
-
- Specialist
- Wichita, KS
- NPI 1144256447
-
dba Southwest Professional Physicians
- Surgery Physician
- Liberal, KS
- NPI 1144493040
-
- Urology Physician
- Wichita, KS
- NPI 1639157498
-
- Critical Access Hospital
- Lyons, KS
- NPI 1710962014
-
dba Kingman Healthcare Center
- Critical Access Hospital
- Kingman, KS
- NPI 1285629956
-
dba Kingman Healthcare Center
- Critical Access Hospital
- Kingman, KS
- NPI 1508969965
-
dba Greenwood Medical Equipment
- Critical Access Hospital
- Eureka, KS
- NPI 1750687216
-
dba Hutchinson Clinic Endoscopy Center
- Ambulatory Surgical Clinic/Center
- Hutchinson, KS
- NPI 1386619682
-
- Clinical Medical Laboratory
- Hutchinson, KS
- NPI 1962477356
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Burlington, KS
- NPI 1376548370
-
- General Acute Care Hospital
- Hutchinson, KS
- NPI 1922039320
-
dba South Central Kansas Medical Center
- Rural Acute Care Hospital
- Arkansas City, KS
- NPI 1609842681
-
dba Wesley Medical Center
- General Acute Care Hospital
- Wichita, KS
- NPI 1447299649
-
- Critical Access Hospital
- Winfield, KS
- NPI 1548229149
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.