Active NPI
Kathleen M. Sandness, M.D.
- Internal Medicine Physician
- Pittsburg, KS
National Provider Identifier
1124118005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 04-22837
- Practice address
- 1701 South Broadway
Pittsburg, KS 66762 - Phone
- (620) 235-4452
- Fax
- (620) 235-6135
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 04-22837 | KS | Primary |
Addresses
Primary practice location
1701 South Broadway
Pittsburg, KS 66762
Mailing address
P.O. Box 1948
Pittsburg, KS 66762
Phone (620) 235-4452
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110072703 | Other | KS | RR MEDICARE |
| 16010 | Other | KS | COVENTRY |
| 020548 | Other | KS | BCBS |
| 020548 | Other | KS | MEDICARE |
| 100124880A | 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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-22837 | KS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psu Student Health Center | Internal Medicine | Past | Accepting new patients |
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.
-
- Internal Medicine Physician
- Pittsburg, KS
- NPI 1710273388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467936000000",
"number": "1124118005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1948",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "66762",
"telephone_number": "620-235-4452",
"fax_number": "620-235-6135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 SOUTH BROADWAY",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "66762",
"telephone_number": "620-235-4452",
"fax_number": "620-235-6135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDNESS",
"first_name": "KATHLEEN",
"middle_name": "M.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2016-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KS",
"license": "04-22837",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "110072703",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "16010",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "020548",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "020548",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100124880A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsburg, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.