NPIMap

Individual provider Active NPI

Katerina Ogden, PA

  • Physician Assistant
  • Olathe, KS
National Provider Identifier
1306917273
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1501032 Issued in KS
Practice address
15435 W 134TH Place
Suite 101
Olathe, KS 66062
Phone
(913) 780-0030
Fax
(913) 782-2924
NPI assigned
Nov 13, 2006
Last updated
Sep 23, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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 1501032 KS Primary

Addresses

Primary practice location

15435 W 134TH Place
Suite 101
Olathe, KS 66062

Mailing address

16500 Indian Creek Pkwy
Suite 101
Olathe, KS 66062-1429
Phone (913) 393-5335

Other identifiers 1

IdentifierTypeStateIssuer
10021590JMedicaidKS

Other names 1

  • Katerina Mathioudakis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110525000618 OK Practitioner - Physician Assistant 6305870734 Reassigns benefits to 4 organizations
I20240429000103 TX Practitioner - Physician Assistant 6305870734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.83 of 100Reported as group
Quality
81.24
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
64.75 of 100Reported as group
Quality
55.37
Improvement activities
40
Cost
47.65

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as group
Quality
83.76
Promoting interoperability
100
Improvement activities
40
Cost
56.64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1941OKMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Creek Nation Hospital & Clinics CurrentSince May 6, 2024 Accepting new patients
True North Health Navigation LLC CurrentSince Apr 8, 2024 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Mar 25, 2024 Accepting new patients
Olathe Health Physicians, Inc. Past Accepting new patients

Locations

2525 NW Expressway St
Ste 102
Oklahoma City, OK 73112
Phone (405) 213-0190

1101 S Belmont Ave
Ste 204
Okmulgee, OK 74447
Phone (918) 756-3526

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

Dept 1467
Tulsa, OK 74182

Interoperability endpoints

  • Direct secure messaging: kogden112886@ahs.direct-ci.com
  • Direct secure messaging: kogden22934@muscogeecreeknation.direct-ci.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1306917273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16500 INDIAN CREEK PKWY",
            "address_2": "SUITE 101",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621429",
            "telephone_number": "913-393-5335",
            "fax_number": "913-782-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15435 W 134TH PLACE",
            "address_2": "SUITE 101",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "66062",
            "telephone_number": "913-780-0030",
            "fax_number": "913-782-2924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGDEN",
        "first_name": "KATERINA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "1501032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10021590J",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATERINA",
            "last_name": "MATHIOUDAKIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.