Active NPI
Deborah J Gammill, MD
- Family Medicine Physician
- Basehor, KS
National Provider Identifier
1992898308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0427440
- Practice address
- 15604 Pinehurst Drive
Suite 2
Basehor, KS 66007 - Phone
- (913) 728-2200
- Fax
- (913) 728-2230
- NPI assigned
- Sep 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0427440 | KS | Primary |
Addresses
Primary practice location
15604 Pinehurst Drive
Suite 2
Basehor, KS 66007
Mailing address
1000 Carondelet Dr
Provider Enrollment/ Med Staff Ofc
Kansas City, MO 64114
Phone (816) 943-5744
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100325690D | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 22, 2020 through Jun 22, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0427440 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicholas Brockert MD an Operating Division of Saint John Hospital | Family Medicine | Past | Accepting new patients |
| Providence Care Inc | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Lansing, KS
- NPI 1982832895
-
- Family Medicine Physician
- Kansas City, KS
- NPI 1477860112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553558400000",
"number": "1992898308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 CARONDELET DR",
"address_2": "PROVIDER ENROLLMENT/ MED STAFF OFC",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64114",
"telephone_number": "816-943-5744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15604 PINEHURST DRIVE",
"address_2": "SUITE 2",
"city": "BASEHOR",
"state": "KS",
"postal_code": "66007",
"telephone_number": "913-728-2200",
"fax_number": "913-728-2230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMMILL",
"first_name": "DEBORAH",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-30",
"last_updated": "2019-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "0427440",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100325690D",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Basehor, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.