Individual provider Active NPI

Raul Leyva-Montes, PA-C

  • Physician Assistant
  • Lakin, KS
National Provider Identifier
1285466102
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
500 E Thorpe St
Lakin, KS 67860-9625
Phone
(620) 355-7111
NPI assigned
Aug 19, 2024
Last updated
Aug 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

500 E Thorpe St
Lakin, KS 67860-9625

Mailing address

PO Box 586
Syracuse, KS 67878-0586
Phone (620) 384-8541

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241003003926 KS Practitioner - Physician Assistant 7810428620 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kearny County HospitalGroup PAC ID 0244148864, 18 clinicians

Practice addresses (Care Compare)

506 E Thorpe St
Lakin, KS 67860-9625
Phone (620) 355-7550

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kearny County Hospital CurrentSince Sep 23, 2024 Accepting new patients
Kearny County Hospital Current Accepting new patients

Locations

500 E Thorpe St
Lakin, KS 67860
Phone (620) 355-7111

506 E Thorpe St
Lakin, KS 67860
Phone (620) 355-7500

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/554843c8-8d71-4199-8499-511dff49069d/

Organizations & group practices 3

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": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1285466102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 586",
            "city": "SYRACUSE",
            "state": "KS",
            "postal_code": "678780586",
            "telephone_number": "620-384-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E THORPE ST",
            "city": "LAKIN",
            "state": "KS",
            "postal_code": "678609625",
            "telephone_number": "620-355-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYVA-MONTES",
        "first_name": "RAUL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakin, KS

Sources for this page

Verify at the official NPI Registry.