Individual provider Active NPI

Regina Marie Nouhan, M.D.

  • Specialist
  • Leawood, KS
National Provider Identifier
1104877190
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
04-25134 Issued in KS
Practice address
4801 W 135TH St
Leawood, KS 66224-8901
Phone
(913) 663-3838
Fax
(913) 663-4434
NPI assigned
May 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 04-25134 KS Primary

Addresses

Primary practice location

4801 W 135TH St
Leawood, KS 66224-8901

Mailing address

4801 W 135TH St
Leawood, KS 66224-8901
Phone (913) 663-3838

Other identifiers 2

IdentifierTypeStateIssuer
G394818AOtherMOMEDICARE
103248OtherKSMEDICARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100913000750 KS Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 3870507080 Reassigns benefits to 1 organization

National Provider Directory

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390262400000",
    "number": "1104877190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 W 135TH ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662248901",
            "telephone_number": "913-663-3838",
            "fax_number": "913-663-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 W 135TH ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662248901",
            "telephone_number": "913-663-3838",
            "fax_number": "913-663-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOUHAN",
        "first_name": "REGINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-13",
        "last_updated": "2014-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KS",
            "license": "04-25134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G394818A",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "103248",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

Verify at the official NPI Registry.