Jose A. Maeda, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

0436164 Issued in KS

Practice address

305 W 15TH St
Suite 204
Liberal, KS 67901-2455

Phone

(620) 624-4946

Fax

(620) 624-2260

NPI assigned

Nov 2, 2006

Last updated

Mar 8, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

General Surgery

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Medical CenterGroup PAC ID 7517941651, 62 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Health Watch Health Care of Guymon, LLC Home health agency, Guymon, OK, CCN 377248
• Southwest Medical Center Hospital, Liberal, KS, CCN 170068
• Stevens County Hospital Hospital, Hugoton, KS, CCN 171335
• Memorial Hospital of Texas County Authority Hospital, Guymon, OK, CCN 371340

Merit-based Incentive Payment System (MIPS)

Final score

83.79 of 100Reported as group

Quality

68.45

Promoting interoperability

100

Improvement activities

40

Cost

72.27

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HDAHAA
• FHIR API: https://fhir4.healow.com/fhir/r4/JGBGAA
• Direct secure messaging: maedjos@directswmedcenter.com

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.

• Southwest Medical Center

  dba Southwest Professional Physicians

  • Surgery Physician
  • Liberal, KS
  • NPI 1144493040
  Medicare reassignment Care Compare group NPD
• Southwest Medical Center

  dba SWMC Diagnostic Imaging

  • Diagnostic Radiology Physician
  • Liberal, KS
  • NPI 1285503078
  NPD
• Southwest Medical Center

  dba Southwest Internal Medicine

  • Internal Medicine Physician
  • Liberal, KS
  • NPI 1053351668
  NPD (past)
• Southwest Medical Center

  • General Acute Care Hospital
  • Liberal, KS
  • NPI 1538109251
  NPD (past)
• Amistad Surgical & Laparoscopic Clinic

  • Corporate Health Clinic/Center
  • Del Rio, TX
  • NPI 1699950691
  NPD (past)
• National Sinus Institute PLLC

  • Otolaryngology Physician
  • Los Alamos, NM
  • NPI 1194968081
  NPD (past)

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

• Southwest Medical Center

  • General Acute Care Hospital
  • Liberal, KS
  • NPI 1538109251
  Care Compare affiliation
• Stevens County Hospital

  • Critical Access Hospital
  • Hugoton, KS
  • NPI 1093774762
  Care Compare affiliation
• Health Watch Health Care of Guymon, LLC

  • Home Health Agency
  • Guymon, OK
  • NPI 1952789554
  Care Compare affiliation
• Memorial Hospital of Texas County Authority

  • Critical Access Hospital
  • Guymon, OK
  • NPI 1144205360
  Care Compare affiliation

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1083793087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1215",
            "address_2": "ATTN CLINIC BILLING OFFICE",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679051215",
            "telephone_number": "620-629-6638",
            "fax_number": "620-629-6684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W 15TH ST",
            "address_2": "SUITE 204",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012455",
            "telephone_number": "620-624-4946",
            "fax_number": "620-624-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAEDA",
        "first_name": "JOSE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "J1719",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "0436164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200554440A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201001320A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Lock-Gooch, RD, LD
• Natalie Longnecker, PTA
• Lotus Integrative Health
• Mariana E Lucero, MD
• Susan N Lukwago, RD
• Manor of Liberal Inc (Wheatridge Park Care Center)
• Mariana E. Lucero, M.D., Chartered
• Marvin Gill & Assoc. (Med-Link Mobility)
• Krista Renea Mathies, LPC
• Andrew Shane McMann, OTR/L

• Surgery Physician in Liberal, KS
• Providers in Liberal, KS by specialty
• Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.