NPIMap

Organization Active NPI

Kansas Pathology Services, LLC

  • Clinical Medical Laboratory
  • Hays, KS
National Provider Identifier
1144311986
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
17D0681749 Issued in KS
Legal business name
KANSAS PATHOLOGY SERVICES, LLC
Practice address
1212 E 27TH St Unit B
Hays, KS 67601-2106
Phone
(785) 625-5026
Fax
(785) 625-4419
NPI assigned
Sep 27, 2006
Last updated
Sep 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Authorized official

Name
Dr. Ward Melvin Newcomb, M.D.NPI 1144233156
Title
Managing Partner
Phone
(785) 625-5026

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 17D0681749 KS Primary

Addresses

Primary practice location

1212 E 27TH St Unit B
Hays, KS 67601-2106

Mailing address

1212 E 27TH St Unit B
Hays, KS 67601-2106
Phone (785) 650-3196

Other practice location 1

2501 E 13th St
Bldg 2, Suite 4
Hays, KS 67601-2764
Phone (785) 650-3196

Other identifiers 2

IdentifierTypeStateIssuer
70 877836 01MedicaidKS
130560OtherKSMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050510000880 KS Part B Supplier - Independent Clinical Laboratory 8527008408 Practice locations: Hays, KS; Wichita, KS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D0681749Kansas Pathology Services, LLC1212 E 27TH Street Unit B, Hays, KS 67601ComplianceJun 23, 2028

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1212 E 27th St
#B
Hays, KS 67601
Phone (785) 625-5026

1212 E 27th St
#B2
Hays, KS 67601

2501 E 13th St
Bldg 2
Hays, KS 67601
Phone (785) 625-4224

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630627200000",
    "number": "1144311986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 E 27TH ST UNIT B",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012106",
            "telephone_number": "785-650-3196",
            "fax_number": "303-957-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 E 27TH ST UNIT B",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012106",
            "telephone_number": "785-625-5026",
            "fax_number": "785-625-4419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 E 13th St",
            "address_2": "Bldg 2, Suite 4",
            "address_purpose": "LOCATION",
            "city": "Hays",
            "state": "KS",
            "postal_code": "676012764",
            "country_code": "US",
            "telephone_number": "785-650-3196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KANSAS PATHOLOGY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A",
        "authorized_official_last_name": "NEWCOMB",
        "authorized_official_first_name": "WARD",
        "authorized_official_middle_name": "MELVIN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "785-625-5026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "KS",
            "license": "17D0681749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70 877836 01",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "130560",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hays, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; 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.