Individual provider Active NPI

Phillip Thomas Krmpotich, MD

  • Gastroenterology Physician
  • Casper, WY
National Provider Identifier
1932219623
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
5835A Issued in WY
Practice address
1441 Wilkins Circle
Gastroenterology Associates PC
Casper, WY 82601
Phone
(307) 265-1792
NPI assigned
Aug 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 5835A WY Primary

Addresses

Primary practice location

1441 Wilkins Circle
Gastroenterology Associates PC
Casper, WY 82601

Mailing address

1441 Wilkins Circle
Gastroenterology Associates PC
Casper, WY 82601
Phone (307) 265-1792

Other identifiers 2

IdentifierTypeStateIssuer
307220OtherWYBLUE CROSS
0059262MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031118000154 WY Practitioner - Gastroenterology 8921912700 Reassigns benefits to 1 organization
I20200317002093 AZ Practitioner - Gastroenterology 8921912700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Creighton University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Associates, LLCGroup PAC ID 8820902695, 14 clinicians

Practice addresses (Care Compare)

1441 Wilkins Cir
Casper, WY 82601-1337
Phone (307) 233-2700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy108
Upper gastrointestinal (GI) endoscopy for acid reflux279

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5835AWYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Arizona Gi & Liver Institute LLC CurrentSince May 1, 2024 Accepting new patients
Reddy Gi Associates Gastroenterology CurrentSince May 1, 2024 Accepting new patients
Reddy Gi Associates CurrentSince May 1, 2024 Accepting new patients
Gastroenterology Associates, LLC Gastroenterology CurrentSince Jul 15, 1996 Accepting new patients

Locations

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1405 S Alma School Rd
Chandler, AZ 85286
Phone (480) 256-7000

604 W Warner Rd
Ste D1
Chandler, AZ 85225
Phone (480) 393-5075

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

4001 E Baseline Rd
#102103
Gilbert, AZ 85234

4001 E Baseline Rd
Ste 102
Gilbert, AZ 85234
Phone (480) 565-8045

4001 E Baseline Rd
Ste 102103
Gilbert, AZ 85234

5555 E Baseline Rd
Mesa, AZ 85206
Phone (480) 393-5075

9130 E Elliot Rd
Mesa, AZ 85212
Phone (480) 410-4500

1600 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 608-5500

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

1201 E 3rd St
Casper, WY 82601
Phone (307) 234-4585

1233 E 2nd St
Casper, WY 82601
Phone (307) 577-2171

1441 Wilkins Cir
Casper, WY 82601
Phone (307) 265-1792

6350 E 2nd St
Casper, WY 82609
Phone (307) 232-6600

1906 E Cedar St
Rawlins, WY 82301
Phone (307) 324-2294

2221 Elm St
Rawlins, WY 82301
Phone (307) 324-2221

Interoperability endpoints

  • Direct secure messaging: phillip.krmpotich@direct.wyomingmedicalcenter.org

Organizations & group practices 4

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 5

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932219623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 WILKINS CIRCLE",
            "address_2": "GASTROENTEROLOGY ASSOCIATES PC",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "82601",
            "telephone_number": "307-265-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 WILKINS CIRCLE",
            "address_2": "GASTROENTEROLOGY ASSOCIATES PC",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "82601",
            "telephone_number": "307-265-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRMPOTICH",
        "first_name": "PHILLIP",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WY",
            "license": "5835A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "307220",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0059262",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.