Active NPI
Gregory L Hummel, MD
- Orthopaedic Surgery Physician
- Independence, MO
National Provider Identifier
1730153198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- R3B53
- Practice address
- 19550 E 39TH Street
Suite 205
Independence, MO 64057 - Phone
- (816) 252-7300
- Fax
- (816) 836-8435
- NPI assigned
- Feb 14, 2006
- Reactivated
- Oct 2, 2024
- Last updated
- Oct 2, 2024
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | R3B53 | MO | Primary |
Addresses
Primary practice location
19550 E 39TH Street
Suite 205
Independence, MO 64057
Mailing address
PO Box 1980
Independence, MO 64055-0980
Phone (913) 642-4900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11096035 | Other | KS | BCBS |
| 202067518 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R3B53 | MO | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert H and Teresita S Petty | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Midwest Doctors Group, LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Independence, MO
- NPI 1942377320
-
dba Mid-America Sports Medicine and Wellness
- Sports Medicine (Family Medicine) Physician
- Independence, MO
- NPI 1841462314
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
-
dba Crossroads Anesthesia
- Anesthesiology Physician
- Effingham, IL
- NPI 1306913868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1730153198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1980",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640550980",
"telephone_number": "913-642-4900",
"fax_number": "913-381-0979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19550 E 39TH STREET",
"address_2": "SUITE 205",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "64057",
"telephone_number": "816-252-7300",
"fax_number": "816-836-8435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMMEL",
"first_name": "GREGORY",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2024-10-02",
"certification_date": "2022-03-26",
"deactivation_date": "2022-03-26",
"reactivation_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MO",
"license": "R3B53",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "11096035",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202067518",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.