Individual provider Active NPI

John T Ferrell, M.D.,F.A.C.C.

  • Cardiovascular Disease Physician
  • Garden City, KS
National Provider Identifier
1174529184
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
04-30693 Issued in KS
Practice address
401 E Spruce St
Garden City, KS 67846
Phone
(620) 272-2431
NPI assigned
Jun 23, 2005
Last updated
Dec 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 04-30693 KS
Cardiovascular Disease Physician 207RC0000X 04-30693 KS Primary
Interventional Cardiology Physician 207RI0011X 04-30693 KS

Addresses

Primary practice location

401 E Spruce St
Garden City, KS 67846

Mailing address

311 E Spruce St
Garden City, KS 67846
Phone (620) 275-3700

Other identifiers 3

IdentifierTypeStateIssuer
01246529MedicaidCO
04-30693OtherKSKANSAS LICENSE
100324280BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20080723000529 CO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8224924204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Georgetown University School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abc Heart Health LLCGroup PAC ID 9032486642, 3 clinicians

Practice addresses (Care Compare)

3624 E Highlands Ranch Pkwy
Unit 103
Highlands Ranch, CO 80126-7800
Phone (303) 789-1400

401 W Hampden PL
Suite 260
Englewood, CO 80110-2471
Phone (303) 789-1400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-30693KSMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abc Heart Health LLC CurrentSince Apr 2, 2019 Accepting new patients
Abc Heart Health LLC CurrentSince Apr 2, 2019 Accepting new patients
Cardiovascular Associates PC Cardiovascular Disease Past Accepting new patients
Rose Interpretation Group Internal Medicine Past Accepting new patients
West Denver Ekg Panel Internal Medicine PastSince Jan 1, 1992 Accepting new patients

Locations

101 W Hampden Ave
Unit B
Englewood, CO 80110
Phone (303) 439-7400

401 W Hampden Pl
Ste 260
Englewood, CO 80110
Phone (303) 761-5454

Interoperability endpoints

  • Direct secure messaging: john.ferrell.1@30163.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1174529184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E SPRUCE ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "67846",
            "telephone_number": "620-275-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E SPRUCE ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "67846",
            "telephone_number": "620-272-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRELL",
        "first_name": "JOHN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.,F.A.C.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-30693",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "04-30693",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KS",
            "license": "04-30693",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01246529",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS LICENSE",
            "identifier": "04-30693",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100324280B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, KS

Sources for this page

Verify at the official NPI Registry.