Individual provider Active NPI

Gregory M. Knoblauch, PA-C

  • Surgical Physician Assistant
  • Wichita, KS
National Provider Identifier
1902844483
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
15-00484 Issued in KS
Practice address
10100 E Shannon Woods Cir Ste 100
Wichita, KS 67226-4106
Phone
(316) 219-8299
Fax
(316) 219-5899
NPI assigned
Jun 4, 2006
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 15-00484 KS Primary

Addresses

Primary practice location

10100 E Shannon Woods Cir Ste 100
Wichita, KS 67226-4106

Mailing address

10100 E Shannon Woods Cir Ste 100
Wichita, KS 67226-4106
Phone (316) 219-8299

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050428001281 KS Practitioner - Physician Assistant 7517906449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10100 E Shannon Woods Cir
Suite 100
Wichita, KS 67226-4106
Phone (316) 219-8299

10100 E Shannon Woods Cirle
Suite 100
Wichita, KS 67226-4106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15-00484KSMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Joint & Spine Specialists, LLC CurrentSince Jan 1, 2003 Accepting new patients
Advanced Orthopaedic Associates, PA PastSince Jul 23, 2023 Accepting new patients
Advanced Orthopaedic Associates, P.a. PastSince Jul 23, 2023 Accepting new patients

Locations

10100 E Shannon Woods Cir
Ste 100
Wichita, KS 67226

Interoperability endpoints

  • Direct secure messaging: gregory.knoblauch.1@30078.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EIHFAA

Organizations & group practices 3

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1902844483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 E SHANNON WOODS CIR STE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264106",
            "telephone_number": "316-219-8299",
            "fax_number": "855-587-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 E SHANNON WOODS CIR STE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264106",
            "telephone_number": "316-219-8299",
            "fax_number": "316-219-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOBLAUCH",
        "first_name": "GREGORY",
        "middle_name": "M.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KS",
            "license": "15-00484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.