Active NPI
Brittani Jaj Roles, M.D.
- Obstetrics & Gynecology Physician
- Manhattan, KS
National Provider Identifier
1104829803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 04-28906
- Practice address
- 1620 Charles PL
Manhattan, KS 66502-2750 - Phone
- (785) 776-1400
- Fax
- (785) 776-7392
- NPI assigned
- May 27, 2005
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 04-28906 | KS | Primary |
Addresses
Primary practice location
1620 Charles PL
Manhattan, KS 66502-2750
Mailing address
1620 Charles PL
Manhattan, KS 66502-2750
Phone (785) 776-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100370560C | Medicaid | KS |
Other names 1
- Dr. Brittani Jaj Antisdel
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1620 Charles PL
Manhattan, KS 66502-2750
Phone (785) 776-1400
Hospital & facility affiliations
- Ascension Via Christi Hospital Manhattan, Inc
- Manhattan Surgical Hospital LLC
- Stormont Vail Health Flint Hills, LLC
- Wamego Health Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-28906 | KS | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Women'S Health Group, P.a. | Obstetrics & Gynecology | Current | Accepting new patients |
| Ascension Via Christi Hospital Manhattan, Inc. | Past | Accepting new patients |
Locations
1620 Charles Pl
Manhattan, KS 66502
Phone (785) 776-1400
Interoperability endpoints
- brittani.roles@khindirect.org
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Manhattan Surgical Hospital | Hospital | General Partnership Interest | Sep 1, 2005 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Special Hospital
- Manhattan, KS
- NPI 1629053228
General Partnership Interest
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.
-
- Obstetrics & Gynecology Physician
- Manhattan, KS
- NPI 1568465151
-
- General Acute Care Hospital
- Manhattan, KS
- NPI 1760482517
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manhattan, KS
- NPI 1760482517
-
- Special Hospital
- Manhattan, KS
- NPI 1629053228
-
- General Acute Care Hospital
- Junction City, KS
- NPI 1679280192
-
- Critical Access Hospital
- Wamego, KS
- NPI 1588657928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1104829803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 CHARLES PL",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665022750",
"telephone_number": "785-776-1400",
"fax_number": "785-776-7392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 CHARLES PL",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665022750",
"telephone_number": "785-776-1400",
"fax_number": "785-776-7392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLES",
"first_name": "BRITTANI",
"middle_name": "JAJ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-27",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "KS",
"license": "04-28906",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100370560C",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BRITTANI",
"last_name": "ANTISDEL",
"middle_name": "JAJ",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Manhattan, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.