Individual provider Active NPI

Jon E Schroeder, M.D.

  • Internal Medicine Physician
  • Topeka, KS
National Provider Identifier
1134157753
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
04-28133 Issued in KS
Practice address
2909 SE Walnut Dr
Topeka, KS 66605-2189
Phone
(785) 267-0744
Fax
(785) 266-3490
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 04-28133 KS
Internal Medicine Physician 207R00000X 04-28133 KS Primary

Addresses

Primary practice location

2909 SE Walnut Dr
Topeka, KS 66605-2189

Mailing address

2909 SE Walnut Dr
Topeka, KS 66605-2189
Phone (785) 267-0744

Other identifiers 2

IdentifierTypeStateIssuer
100334800CMedicaidKS
067278OtherKSMEDICARE PTAN

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
I20100515000064 KS Practitioner - Internal Medicine 8123156916 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-28133KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Hospitalist Services PA CurrentSince Nov 19, 2023 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Dec 25, 2017 Accepting new patients
Emergency Services of Kansas, P.a. Emergency Medicine CurrentSince Feb 1, 2024 Accepting new patients
Topeka Hospital, LLC Past Accepting new patients
Emergency Services, PA Emergency Medicine Past Accepting new patients

Locations

20333 W 151st St
Olathe, KS 66061
Phone (888) 960-1393

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

1700 SW 7th St
#O
Topeka, KS 66606
Phone (785) 295-8000

1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

Interoperability endpoints

  • Direct secure messaging: jschroeder201309@ahs.direct-ci.com

Organizations & group practices 6

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1134157753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 SE WALNUT DR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666052189",
            "telephone_number": "785-267-0744",
            "fax_number": "785-266-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 SE WALNUT DR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666052189",
            "telephone_number": "785-267-0744",
            "fax_number": "785-266-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "JON",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "04-28133",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-28133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100334800C",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "067278",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.