Organization Active NPI

Suhail Ansari, MD, Chartered

  • Orthopaedic Surgery Physician
  • Liberal, KS
National Provider Identifier
1225001530
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SUHAIL ANSARI, MD, CHARTERED
Practice address
2138 N Kansas Ave
Liberal, KS 67901-2012
Phone
(620) 624-6222
Fax
(620) 624-5413
NPI assigned
Feb 8, 2006
Last updated
Dec 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Authorized official

Name
Suhail Ansari, MDNPI 1255335196
Title
President
Phone
(620) 624-6222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

2138 N Kansas Ave
Liberal, KS 67901-2012

Mailing address

2138 N Kansas Ave
Liberal, KS 67901-2012
Phone (620) 624-6222

Other identifiers 2

IdentifierTypeStateIssuer
100380740AMedicaidKS
115607OtherKSBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576195200000",
    "number": "1225001530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2138 N KANSAS AVE",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012012",
            "telephone_number": "620-624-6222",
            "fax_number": "620-624-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2138 N KANSAS AVE",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012012",
            "telephone_number": "620-624-6222",
            "fax_number": "620-624-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUHAIL ANSARI, MD, CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A",
        "authorized_official_last_name": "ANSARI",
        "authorized_official_first_name": "SUHAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-624-6222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100380740A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "115607",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberal, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.