Individual provider Active NPI

William Ryan Jones

  • Pediatrics Physician
  • Iola, KS
National Provider Identifier
1053971143
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
46880 Issued in KS
Practice address
2051 N State St
Iola, KS 66749-1677
Phone
(888) 777-9170
NPI assigned
Jun 19, 2019
Last updated
Oct 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 8593 NE
Pediatrics Physician 208000000X 46880 KS Primary

Addresses

Primary practice location

2051 N State St
Iola, KS 66749-1677

Mailing address

PO Box 1832
Pittsburg, KS 66762-1832
Phone (888) 777-9170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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
I20230117001816 KS Practitioner - Pediatric Medicine 6608108543 Reassigns benefits to 2 organizations
I20251211003269 MO Practitioner - Pediatric Medicine 6608108543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Chicago, IL 60677

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Joplin LLC CurrentSince Dec 26, 2025 Accepting new patients
Community Health Center of Southeast Kansas Inc CurrentSince Oct 3, 2022 Accepting new patients
Community Health Center of Southeast Kansas, Inc. CurrentSince Oct 3, 2022 Accepting new patients
Community Health Center of Southeast Kansas Inc Current Accepting new patients
Ascension Via Christi Hospital Pittsburg, Inc. CurrentSince Mar 24, 2025 Accepting new patients
Mercy Clinic Pittsburg LLC CurrentSince Mar 24, 2025 Accepting new patients
Nebraska Medical Center Past Accepting new patients
Community Health Center of Southeast Kansas, Inc. Past Accepting new patients
Alliance Radiology, PA PastSince Dec 26, 2025 Accepting new patients
Mercy Hospital Pittsburg Inc Past Accepting new patients
Mercy Hospital Joplin Past Accepting new patients

Locations

2322 S Main St
Fort Scott, KS 66701
Phone (620) 223-8040

2051 N State St
Iola, KS 66749
Phone (620) 380-6400

1017 E Market St
Lacygne, KS 66040
Phone (913) 757-4575

2711 S Rouse St
Ste B
Pittsburg, KS 66762
Phone (620) 230-0044

3011 N Michigan St
Pittsburg, KS 66762
Phone (620) 231-1960

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

202 E 50th St
Joplin, MO 64804
Phone (417) 556-3400

Interoperability endpoints

  • Direct secure messaging: wjones463487@direct.saint-lukes.org

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1053971143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1832",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667621832",
            "telephone_number": "888-777-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 N STATE ST",
            "city": "IOLA",
            "state": "KS",
            "postal_code": "667491677",
            "telephone_number": "888-777-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "WILLIAM",
        "middle_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-19",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NE",
            "license": "8593",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "46880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iola, KS

Sources for this page

Verify at the official NPI Registry.