Jeff Wongskhaluang, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

04--37827 Issued in KS

Practice address

21020 W 151St St
Grin Eye Care
Olathe, KS 66061-7200

Phone

(913) 829-5511

NPI assigned

Jul 14, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

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 2

Specialty

Ophthalmology

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Milton B Grin MD PAGroup PAC ID 3870493752, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascentist Hospital LLC Hospital, Leawood, KS, CCN 170194

Merit-based Incentive Payment System (MIPS)

Final score

93.14 of 100Reported as group

Quality

100

Improvement activities

40

Cost

77.15

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jwongskhaluang755796@direct.kuha.org

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.

• Milton B Grin MD PA

  • Ophthalmology Physician
  • Olathe, KS
  • NPI 1821063769

  MO

  Medicare reassignment Care Compare group NPD
• Deer Creek Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Overland Park, KS
  • NPI 1528099207
  NPD (past)

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

• Doctors Hospital, LLC

  • General Acute Care Hospital
  • Leawood, KS
  • NPI 1871698472
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1821228677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21020 W 151ST ST",
            "address_2": "GRIN EYE CARE",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617200",
            "telephone_number": "913-829-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21020 W 151ST ST",
            "address_2": "GRIN EYE CARE",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617200",
            "telephone_number": "913-829-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONGSKHALUANG",
        "first_name": "JEFF",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-14",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2013021811",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "04--37827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim E Wolfe
• Aaron Jon Wolfswinkel, D.C.
• Barbara D Wolock, MD
• Hannah Marie Wolverton, TLMFT
• Hannah Amelia Womer, AGACNP-BC
• Jennifer Marie Wood
• Robert Armacost Wood Jr., MD
• Joshua Woodard
• Ronda L Wooden, MSPT, DPT
• Woodroof Chiropractic and Acupuncture LLC

• Ophthalmology Physician in Olathe, KS
• Providers in Olathe, KS by specialty
• Ophthalmology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; 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.

Verify at the official NPI Registry.