NPIMap

Individual provider Active NPI

Gregory R Boxberger, MD

  • Cardiovascular Disease Physician
  • Wichita, KS
National Provider Identifier
1972581205
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
04-20682 Issued in KS
Practice address
2600 N Woodlawn Blvd
Wichita, KS 67220-2729
Phone
(316) 684-3838
Fax
(316) 858-2521
NPI assigned
Jan 6, 2006
Last updated
Jan 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 04-20682 KS Primary
Interventional Cardiology Physician 207RI0011X 04-20682 KS

Addresses

Primary practice location

2600 N Woodlawn Blvd
Wichita, KS 67220-2729

Mailing address

2600 N Woodlawn Blvd
Wichita, KS 67220-2729
Phone (316) 684-3838

Other identifiers 1

IdentifierTypeStateIssuer
100136840DMedicaidKS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address GREGORY.BOXBERGER@hca3.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041001001016 KS Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 3678478575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
University of Kansas School of Med (KC/Wich/Sal), 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas Medical Center LLCGroup PAC ID 2668476862, 54 clinicians

Practice addresses (Care Compare)

9840 E 21St St N
Cypress Heart
Wichita, KS 67206-3589
Phone (316) 858-9000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.77 of 100Reported as group
Quality
77.19
Promoting interoperability
99
Improvement activities
40
Cost
72.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting34
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-20682KSMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wesley Physicians Medical Specialties LLC CurrentSince Aug 5, 2018 Accepting new patients
Via Christi Regional Medical Center Past Accepting new patients
Via Christi Hospitals Wichita, Inc Past Accepting new patients
Pawnee Valley Community Hospital Inc Past Accepting new patients

Locations

2600 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 260-1690

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 5

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 6

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": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1972581205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N WOODLAWN BLVD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672202729",
            "telephone_number": "316-684-3838",
            "fax_number": "316-858-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N WOODLAWN BLVD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672202729",
            "telephone_number": "316-684-3838",
            "fax_number": "316-858-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOXBERGER",
        "first_name": "GREGORY",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "04-20682",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KS",
            "license": "04-20682",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100136840D",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "GREGORY.BOXBERGER@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2600 N Woodlawn Blvd",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672202729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.