Individual provider Active NPI

Molly Litvin, D.O.

  • Nephrology Physician
  • Leavenworth, KS
National Provider Identifier
1346405750
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
03522 Issued in KY
Practice address
4101 S. 4TH Street Trafficway
Leavenworth, KS 66048-5055
Phone
(913) 682-2000
Fax
(913) 758-4219
NPI assigned
Jul 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 58001495 OH
Nephrology Physician 207RN0300X 03522 KY Primary

Addresses

Primary practice location

4101 S. 4TH Street Trafficway
Leavenworth, KS 66048-5055

Mailing address

4101 S. 4TH Street Trafficway
Leavenworth, KS 66048-5055
Phone (913) 682-2000

Other identifiers 2

IdentifierTypeStateIssuer
2976203MedicaidOH
3810023838MedicaidWV

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
TP612KYMDInternal Medicine Physician
03522KYMDNephrology Physician
58001495OHMDNephrology Physician

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1346405750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 S. 4TH STREET TRAFFICWAY",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660485055",
            "telephone_number": "913-682-2000",
            "fax_number": "913-758-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 S. 4TH STREET TRAFFICWAY",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660485055",
            "telephone_number": "913-682-2000",
            "fax_number": "913-758-4219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITVIN",
        "first_name": "MOLLY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "58001495",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "03522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2976203",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810023838",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leavenworth, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.