Organization Active NPI

Leavenworth Family Health Center

  • Family Medicine Physician
  • Lansing, KS
National Provider Identifier
1255446480
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LEAVENWORTH FAMILY HEALTH CENTER
Practice address
720 1St Ter
Lansing, KS 66043-1704
Phone
(913) 682-5588
Fax
(913) 682-2698
NPI assigned
Aug 20, 2006
Last updated
Jun 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Authorized official

Name
Dr. Peter J Cristiano, M.D.NPI 1710092093
Title
Owner
Phone
(913) 682-5588

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
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

720 1St Ter
Lansing, KS 66043-1704

Mailing address

720 1St Ter
Lansing, KS 66043-1704
Phone (913) 682-5588

Other identifiers 1

IdentifierTypeStateIssuer
100316200AMedicaidKS

Other names 1

  • Cristiano Family Medicine M.D., PA Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031203000159 KS Part B Supplier - Clinic/Group Practice 8628973740 Receives reassigned benefits from 6 practitioners
Practice locations: Lansing, 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
17D0717110Lansing/Leavenworth Family Health Center720 First Terrace, Lansing, KS 66043Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Locations

720 1st Ter
Lansing, KS 66043
Phone (913) 682-5588

Practitioners & affiliated clinicians

Practitioners 7

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": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1255446480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 1ST TER",
            "city": "LANSING",
            "state": "KS",
            "postal_code": "660431704",
            "telephone_number": "913-682-5588",
            "fax_number": "913-682-2698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 1ST TER",
            "city": "LANSING",
            "state": "KS",
            "postal_code": "660431704",
            "telephone_number": "913-682-5588",
            "fax_number": "913-682-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAVENWORTH FAMILY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "CRISTIANO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-682-5588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100316200A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cristiano Family Medicine M.D., PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lansing, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.