Active NPI
Manuel NG Cortinas, M.D.
- Psychiatry Physician
- Mission, KS
National Provider Identifier
1215059712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0800209
- Practice address
- 6000 Lamar Ave
Suite 130
Mission, KS 66202-3234 - Phone
- (913) 831-2550
- Fax
- (913) 826-1589
- NPI assigned
- Apr 4, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0800209 | KS | Primary |
Addresses
Primary practice location
6000 Lamar Ave
Suite 130
Mission, KS 66202-3234
Mailing address
6000 Lamar Ave
Suite 130
Mission, KS 66202-3234
Phone (913) 831-2550
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 292B00019 | Other | KS | MEDICARE PTAN |
| 292C00017 | Other | KS | MEDICARE PTAN |
| 292A00017 | Other | KS | MEDICARE PTAN |
| 201070530A | 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 |
|---|---|---|---|
| 0800209 | KS | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412726400000",
"number": "1215059712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 LAMAR AVE",
"address_2": "SUITE 130",
"city": "MISSION",
"state": "KS",
"postal_code": "662023234",
"telephone_number": "913-831-2550",
"fax_number": "913-826-1589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 LAMAR AVE",
"address_2": "SUITE 130",
"city": "MISSION",
"state": "KS",
"postal_code": "662023234",
"telephone_number": "913-831-2550",
"fax_number": "913-826-1589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NG CORTINAS",
"first_name": "MANUEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-04",
"last_updated": "2014-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KS",
"license": "0800209",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "292B00019",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "292C00017",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "292A00017",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201070530A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mission, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.