Active NPI
Kevin Samuel Hughes, DO
- Diagnostic Radiology Physician
- Burlington, KS
National Provider Identifier
1124023841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 05-27194
- Practice address
- 801 N 4TH St
Burlington, KS 66839-2602 - Phone
- (620) 364-2121
- NPI assigned
- Jun 17, 2005
- Last updated
- Jan 17, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 05-27194 | KS | Primary |
Addresses
Primary practice location
801 N 4TH St
Burlington, KS 66839-2602
Mailing address
PO Box 801682
Kansas City, MO 64180-1682
Phone (620) 231-3001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100293230D | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-27194 | KS | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Imaging Consultants, LLC | Diagnostic Radiology | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Burlington, KS
- NPI 1548499858
-
- Diagnostic Radiology Physician
- Lenexa, KS
- NPI 1588669766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579219200000",
"number": "1124023841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 801682",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641801682",
"telephone_number": "620-231-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 N 4TH ST",
"city": "BURLINGTON",
"state": "KS",
"postal_code": "668392602",
"telephone_number": "620-364-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGHES",
"first_name": "KEVIN",
"middle_name": "SAMUEL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-17",
"last_updated": "2020-01-17",
"certification_date": "2020-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KS",
"license": "05-27194",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100293230D",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.