Active NPI
Daniel Gragert
- Family Medicine Physician
- Oklahoma City, OK
National Provider Identifier
1891161279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- NA
- Practice address
- 900 NE 10TH St
Oklahoma City, OK 73104 - Phone
- (405) 271-2230
- NPI assigned
- Aug 19, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1879 | NE | |
| Obstetrics & Gynecology Physician | 207V00000X | 7596 | NE | |
| Family Medicine Physician | 207Q00000X | NA | OK | Primary |
Addresses
Primary practice location
900 NE 10TH St
Oklahoma City, OK 73104
Mailing address
900 NE 10TH St
Oklahoma City, OK 73104-5420
Phone (405) 271-2230
Other practice location 1
601 N 30th St
Omaha, NE 68131-2128
Phone (316) 655-8336
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 15, 2023 through Mar 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7596 | NE | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluebird Health, PLLC | Current | Accepting new patients | |
| Seniorlife Therapy Clinic, Inc | Current | Accepting new patients |
Locations
104 Westview Park Pl
Kalispell, MT 59901
Phone (406) 314-9779
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.
-
- Community Health Clinic/Center
- Kalispell, MT
- NPI 1295456192
-
- Physical Therapist
- Boise, ID
- NPI 1952543803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527033600000",
"number": "1891161279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 NE 10TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045420",
"telephone_number": "405-271-2230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 NE 10TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73104",
"telephone_number": "405-271-2230"
}
],
"practiceLocations": [
{
"address_1": "601 N 30th St",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681312128",
"country_code": "US",
"telephone_number": "316-655-8336",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAGERT",
"first_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-19",
"last_updated": "2018-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "1879",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NE",
"license": "7596",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "NA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.