Individual provider Active NPI

Tonya Knoll, D.O.

  • Family Medicine Physician
  • Hays, KS
National Provider Identifier
1750357547
Registry record updated Dec 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05-29277 Issued in KS
Practice address
1106 E 27TH St
Suite 2
Hays, KS 67601-2154
Phone
(785) 625-5500
Fax
(785) 625-5501
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 05-29277 KS Primary

Addresses

Primary practice location

1106 E 27TH St
Suite 2
Hays, KS 67601-2154

Mailing address

1100 E 22ND St
Hays, KS 67601-2422
Phone (785) 625-5500

Other identifiers 1

IdentifierTypeStateIssuer
100456020AMedicaidKS

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
I20040325001564 KS Practitioner - Family PracticePractitioner - Emergency Medicine 3577455435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knoll Clinic LLCGroup PAC ID 2860542321, 2 clinicians

Practice addresses (Care Compare)

1100 E 22ND St
Hays, KS 67601-2422
Phone (785) 625-5500

Hospital & facility affiliations

  • Angels Care Home Health of Dodge City Home health agency, Wa Keeney, KS, CCN 178116
  • Good Samaritan Home Health of Central Kansas Home health agency, Hays, KS, CCN 178064
  • Hays Medical Center Hospital, Hays, KS, CCN 170013
  • Rooks County Health Center Hospital, Plainville, KS, CCN 171311

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05-29277KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Knoll Clinic LLC CurrentSince May 5, 2009 Accepting new patients
Central Kansas Medical Center Family Medicine Past Accepting new patients

Locations

1106 E 27th St
Ste 2
Hays, KS 67601
Phone (785) 625-5500

1100 E 22nd St
Hays, KS 67601
Phone (785) 625-5500

Organizations & group practices 2

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 4

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513555200000",
    "number": "1750357547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E 22ND ST",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012422",
            "telephone_number": "785-625-5500",
            "fax_number": "785-625-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 E 27TH ST",
            "address_2": "SUITE 2",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012154",
            "telephone_number": "785-625-5500",
            "fax_number": "785-625-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOLL",
        "first_name": "TONYA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2017-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-29277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100456020A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hays, KS

Sources for this page

Verify at the official NPI Registry.