Daniel A Gillogly, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1327-3 Issued in KS

Practice address

1821 E Madison Ave
Suite 1600
Derby, KS 67037-2357

Phone

(316) 789-8383

Fax

(316) 789-0336

NPI assigned

Mar 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Merit-based Incentive Payment System (MIPS)

Final score

88.79 of 100Reported as group

Quality

81.25

Promoting interoperability

97

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grene Vision Group LLC

  • Ophthalmology Physician
  • Wichita, KS
  • NPI 1285627562

  Optometrist

  Medicare reassignment NPD
• Steven a. Kuhl OD, LLC

  • Optometrist
  • Wichita, KS
  • NPI 1205415387
  Medicare reassignment NPD
• Grene Vision Group LLC

  • Optometrist
  • Wichita, KS
  • NPI 1598215006
  NPD
• Steven a Kuhl OD, LLC

  • Optometrist
  • El Dorado, KS
  • NPI 1184384554
  NPD

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1912975855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 N WEBB RD",
            "address_2": "ATTN FLR2",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063413",
            "telephone_number": "316-636-2010",
            "fax_number": "316-858-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 E MADISON AVE",
            "address_2": "SUITE 1600",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372357",
            "telephone_number": "316-789-8383",
            "fax_number": "316-789-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLOGLY",
        "first_name": "DANIEL",
        "middle_name": "A",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1327-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100219560C",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410029920",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liliana Galvan
• Melissa D Gardner, PTA
• Steven A Garner, MD
• Cynthia S George
• William A Gessler, RPH
• Glenn Sherwood
• Pamela S Goebel-Roberts, ARNP
• Alexis Gomes, RN,BSN
• Joel Arnold Gouvion, PHARMD
• Andrew Thomas Graff

• Optometrist in Derby, KS
• Providers in Derby, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.