Individual provider Active NPI

Stephen Joseph Grindel, DO

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1932164373
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05-21958 Issued in KS
Practice address
7111 E. 21St Street N.
Suite a
Wichita, KS 67206-1078
Phone
(316) 684-2851
Fax
(316) 683-5239
NPI assigned
Apr 19, 2006
Last updated
Jul 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 05-21958 KS Primary

Addresses

Primary practice location

7111 E. 21St Street N.
Suite a
Wichita, KS 67206-1078

Mailing address

7111 E. 21St Street N.
Suite a
Wichita, KS 67206-1078
Phone (316) 684-2851

Other identifiers 1

IdentifierTypeStateIssuer
100233010DMedicaidKS

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050512000475 KS Practitioner - Family Practice 9537100235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care Associates LLCGroup PAC ID 1153235015, 13 clinicians

Practice addresses (Care Compare)

7111 E 21St St N
Suite a
Wichita, KS 67206-1078
Phone (316) 684-2851

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Associates, LLC Family Medicine CurrentSince Jan 4, 2016 Accepting new patients

Locations

7111 E 21st St N
Ste A
Wichita, KS 67206
Phone (316) 684-2851

Interoperability endpoints

  • Direct secure messaging: stephen.grindel.1@3862.direct.athenahealth.com
  • Direct secure messaging: stephen.grindel@khindirect.org

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1932164373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 E. 21ST STREET N.",
            "address_2": "SUITE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061078",
            "telephone_number": "316-684-2851",
            "fax_number": "316-683-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 E. 21ST STREET N.",
            "address_2": "SUITE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061078",
            "telephone_number": "316-684-2851",
            "fax_number": "316-683-5239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINDEL",
        "first_name": "STEPHEN",
        "middle_name": "JOSEPH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-21958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100233010D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.