Individual provider Active NPI

Daniel Schowengerdt, M.D.

  • Family Medicine Physician
  • Coldwater, KS
National Provider Identifier
1194727230
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0423426 Issued in KS
Practice address
301 S Washington St
Coldwater, KS 67029-9758
Phone
(620) 582-2136
Fax
(620) 582-2572
NPI assigned
Jun 1, 2005
Last updated
Jul 12, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0423426 KS Primary

Addresses

Primary practice location

301 S Washington St
Coldwater, KS 67029-9758

Mailing address

301 S Washington St
PO Box 778
Coldwater, KS 67029-9758
Phone (620) 582-2136

Other identifiers 1

IdentifierTypeStateIssuer
100133610BMedicaidKS

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
I20060828000359 KS Practitioner - Family Practice 5092719468 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comanche County HospitalGroup PAC ID 5395791008, shared by 3 NPIs, 4 clinicians

Practice addresses (Care Compare)

301 S Washington St
Coldwater, KS 67029-9758
Phone (620) 582-2136

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0423426KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comanche County Hospital Current Accepting new patients
Comanche County Hospital CurrentSince Aug 1, 2006 Accepting new patients
Pratt Family Practice LLC Past Accepting new patients
Protection Valley Manor, Inc. Past Accepting new patients
Pioneer Community Care, Inc. Dba Pioneer Lodge Past Accepting new patients
Cancer Center of Kansas, P.a. Past Accepting new patients

Locations

202 S Frisco St
Coldwater, KS 67029
Phone (620) 528-2144

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1194727230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S WASHINGTON ST",
            "address_2": "PO BOX 778",
            "city": "COLDWATER",
            "state": "KS",
            "postal_code": "670299758",
            "telephone_number": "620-582-2136",
            "fax_number": "620-582-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S WASHINGTON ST",
            "city": "COLDWATER",
            "state": "KS",
            "postal_code": "670299758",
            "telephone_number": "620-582-2136",
            "fax_number": "620-582-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOWENGERDT",
        "first_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0423426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100133610B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, KS

Sources for this page

Verify at the official NPI Registry.