Individual provider Active NPI

Kevin P Ruggle, AU.D.

  • Audiologist
  • Manhattan, KS
National Provider Identifier
1114921632
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
01002 Issued in KS
Practice address
1213 Hylton Heights Rd
Ste 105
Manhattan, KS 66502-2812
Phone
(785) 537-4005
NPI assigned
Jun 13, 2005
Reactivated
Mar 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 01002 KS Primary
Audiologist-Hearing Aid Fitter 237600000X 01002 KS

Addresses

Primary practice location

1213 Hylton Heights Rd
Ste 105
Manhattan, KS 66502-2812

Mailing address

1213 Hylton Heights Rd
Ste 105
Manhattan, KS 66502-2812
Phone (785) 537-4005

Other practice location 1

304 E 3rd St
Washington, KS 66968-2033
Phone (785) 537-4005

Other practice location 2

708 N 18th St
Marysville, KS 66508-1338
Phone (785) 537-4005

Other practice location 3

617 Liberty St
Clay Center, KS 67432-1564
Phone (785) 537-4005

Other identifiers 1

IdentifierTypeStateIssuer
100228130BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080918000120 KS Practitioner - Qualified Audiologist 5799852679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hearing Doctors of Kansas IncGroup PAC ID 2062713506, 2 clinicians

Practice addresses (Care Compare)

1213 Hylton Heights Rd
Suite 105
Manhattan, KS 66502-2812
Phone (785) 537-4005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1002KSMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Doctors of Kansas Inc CurrentSince Jan 1, 2015 Accepting new patients

Locations

617 Liberty St
Clay Center, KS 67432
Phone (785) 632-2144

1213 Hylton Heights Rd
Ste 105
Manhattan, KS 66502
Phone (785) 537-4005

708 N 18th St
Marysville, KS 66508
Phone (785) 562-2311

304 E 3rd St
Washington, KS 66968
Phone (785) 325-2211

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1114921632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 HYLTON HEIGHTS RD",
            "address_2": "STE 105",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022812",
            "telephone_number": "785-537-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 HYLTON HEIGHTS RD",
            "address_2": "STE 105",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022812",
            "telephone_number": "785-537-4005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "KS",
            "postal_code": "669682033",
            "country_code": "US",
            "telephone_number": "785-537-4005",
            "fax_number": "785-537-0196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "708 N 18th St",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "KS",
            "postal_code": "665081338",
            "country_code": "US",
            "telephone_number": "785-537-4005",
            "fax_number": "785-537-0196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "617 Liberty St",
            "address_purpose": "LOCATION",
            "city": "Clay Center",
            "state": "KS",
            "postal_code": "674321564",
            "country_code": "US",
            "telephone_number": "785-537-4005",
            "fax_number": "785-537-0196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUGGLE",
        "first_name": "KEVIN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KS",
            "license": "01002",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "KS",
            "license": "01002",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100228130B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.