Active NPI
Ronald Joseph Kolegraff, M.D.
- Surgery Physician
- Okoboji, IA
National Provider Identifier
1891757878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 24582
- Practice address
- 1008 Eastview Ave
Unit 8
Okoboji, IA 51355-2633 - Phone
- (712) 332-6001
- Fax
- (712) 332-6010
- NPI assigned
- Apr 5, 2006
- Last updated
- Apr 20, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 24582 | IA | Primary |
| Phlebology Physician | 202K00000X | 24582 | IA |
Addresses
Primary practice location
1008 Eastview Ave
Unit 8
Okoboji, IA 51355-2633
Mailing address
PO Box 125
Okoboji, IA 51355-0125
Phone (712) 332-6001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0223222 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Un of California, Irvine, College of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3301 Hwy 71
Suite 1
Spirit Lake, IA 51360-7634
Phone (712) 332-6001
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Varicose vein removal | 35 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 30 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24582 | IA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Institute PC | Past | Accepting new patients |
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.
-
- Multi-Specialty Clinic/Center
- Tea, SD
- NPI 1245263326
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Spirit Lake, IA
- NPI 1508862012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650412800000",
"number": "1891757878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 125",
"city": "OKOBOJI",
"state": "IA",
"postal_code": "513550125",
"telephone_number": "712-332-6001",
"fax_number": "712-332-6010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 EASTVIEW AVE",
"address_2": "UNIT 8",
"city": "OKOBOJI",
"state": "IA",
"postal_code": "513552633",
"telephone_number": "712-332-6001",
"fax_number": "712-332-6010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLEGRAFF",
"first_name": "RONALD",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2022-04-20",
"certification_date": "2022-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IA",
"license": "24582",
"primary": true
},
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": "IA",
"license": "24582",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0223222",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Okoboji, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.