Individual provider Active NPI

Kyler Drew Knobbe, O.D.

  • Optometrist
  • Wamego, KS
National Provider Identifier
1871975367
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2008 Issued in KS
Practice address
1405 W US Highway 24
Wamego, KS 66547-1256
Phone
(785) 456-8900
NPI assigned
Jun 22, 2015
Last updated
Jun 22, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2008 KS Primary
Corneal and Contact Management Optometrist 152WC0802X 2008 KS

Addresses

Primary practice location

1405 W US Highway 24
Wamego, KS 66547-1256

Mailing address

1405 W US Highway 24
Wamego, KS 66547-1256
Phone (785) 456-8900

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150708001880 KS Practitioner - Optometry 2466764287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kyler Knobbe OD LLCGroup PAC ID 1951694298, 3 clinicians

Practice addresses (Care Compare)

1405 W US Hwy 24
Wamego, KS 66547-1256
Phone (785) 456-8900

Merit-based Incentive Payment System (MIPS)

Final score
88.77 of 100Reported as group
Quality
77.54
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2008KSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kyler Knobbe, OD, LLC Optometrist CurrentSince Aug 1, 2016 Accepting new patients
Kansal Eye Physicians and Surgeons Chartered PastSince Jun 30, 2015 Accepting new patients

Locations

930 Hayes Dr
Ste D
Manhattan, KS 66502
Phone (785) 539-2020

1405 W US Highway 24
Wamego, KS 66547
Phone (785) 456-8900

Interoperability endpoints

  • Direct secure messaging: kyler.knobbe@direct.revolutionehr.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1871975367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 W US HIGHWAY 24",
            "city": "WAMEGO",
            "state": "KS",
            "postal_code": "665471256",
            "telephone_number": "785-456-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 W US HIGHWAY 24",
            "city": "WAMEGO",
            "state": "KS",
            "postal_code": "665471256",
            "telephone_number": "785-456-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOBBE",
        "first_name": "KYLER",
        "middle_name": "DREW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2008",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "KS",
            "license": "2008",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wamego, KS

Sources for this page

Verify at the official NPI Registry.