NPIMap

Individual provider Active NPI

Craig David Bartruff, M.D.

  • Family Medicine Physician
  • Gothenburg, NE
National Provider Identifier
1801833660
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12802 Issued in NE
Practice address
619 10TH St
Gothenburg, NE 69138-2063
Phone
(308) 537-3674
Fax
(308) 537-3675
NPI assigned
Jun 1, 2006
Last updated
May 20, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2014

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 12802 NE Primary

Addresses

Primary practice location

619 10TH St
Gothenburg, NE 69138-2063

Mailing address

PO Box 389
Gothenburg, NE 69138-0389
Phone (308) 537-3674

Other identifiers 1

IdentifierTypeStateIssuer
47061825600MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, KS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071113000507 NE Practitioner - General Practice 4789635681 Reassigns benefits to 2 organizations
I20170320001191 KS Practitioner - Family Practice 4789635681 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Decatur Health Systems IncGroup PAC ID 8022928225, shared by 3 NPIs, 11 clinicians

Practice addresses (Care Compare)

810 W Columbia St
Oberlin, KS 67749-2450
Phone (785) 475-2208

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur Health Systems Inc Family Medicine CurrentSince Feb 21, 2017 Accepting new patients
Community Hospital Association CurrentSince Dec 31, 2015 Accepting new patients
Community Hospital Association Family Medicine CurrentSince Dec 31, 2015 Accepting new patients
Decatur Health Systems Inc Current Accepting new patients
Hastings Convenient Care PC CurrentSince Jan 1, 2011 Accepting new patients
Gothenburg Memorial Hospital Family Medicine CurrentSince Oct 13, 2019 Accepting new patients
Brady Volunteer Fire Department Past Accepting new patients
The Evangelical Lutheran Good Samaritan Society Past Accepting new patients
K C Health Care Enterprises Inc PastSince Mar 15, 1995 Accepting new patients

Locations

810 W Columbia St
Oberlin, KS 67749
Phone (785) 475-2200

902 W Columbia St
Oberlin, KS 67749
Phone (785) 475-2221

114 N Main St
Brady, NE 69123
Phone (308) 584-3770

910 20th St
Gothenburg, NE 69138
Phone (308) 537-3661

208 S Burlington Ave
Ste 108
Hastings, NE 68901
Phone (402) 463-6300

1301 E H St
McCook, NE 69001
Phone (308) 344-2650

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Decatur HealthOberlin, KS, CCN 171352 Hospital W-2 Managing Employee
Operational/Managerial Control		 Feb 21, 2017
Feb 21, 2017
Decatur HealthOberlin, KS, CCN 17Z352 Hospital W-2 Managing Employee
Operational/Managerial Control		 Feb 21, 2017
Feb 21, 2017
Good Samaritan Society - Decatur CountyOberlin, KS, CCN 175356 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 13, 2018
Jun 13, 2018
Hilltop EstatesGothenburg, NE, CCN 285163 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Oct 19, 2009
Mar 15, 1995
Mar 15, 1995
Decatur Health Systems Family Practice ClinicOberlin, KS, CCN 178564 Rural health clinic W-2 Managing Employee
Operational/Managerial Control		 Feb 21, 2017
Feb 21, 2017

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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.

Hospital & facility affiliations 8

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1801833660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 389",
            "city": "GOTHENBURG",
            "state": "NE",
            "postal_code": "691380389",
            "telephone_number": "308-537-3674",
            "fax_number": "308-537-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 10TH ST",
            "city": "GOTHENBURG",
            "state": "NE",
            "postal_code": "691382063",
            "telephone_number": "308-537-3674",
            "fax_number": "308-537-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTRUFF",
        "first_name": "CRAIG",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "12802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47061825600",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gothenburg, NE

Sources for this page

Verify at the official NPI Registry.