Individual provider Active NPI

Louis B. Hakan, D.O.

  • Pediatrics Physician
  • Springfield, MO
National Provider Identifier
1366553653
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2005012169 Issued in MO
Practice address
1443 N Robberson Ave
#200
Springfield, MO 65802-1928
Phone
(417) 269-8061
Fax
(417) 269-8087
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2005012169 MO Primary

Addresses

Primary practice location

1443 N Robberson Ave
#200
Springfield, MO 65802-1928

Mailing address

PO Box 802843
Kansas City, MO 64180-2843
Phone (417) 730-6430

Other identifiers 1

IdentifierTypeStateIssuer
207357500MedicaidMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100817000543 MO Practitioner - Family PracticePractitioner - Pediatric Medicine 1456485127 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2005012169MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cox-Monett Hospital Inc CurrentSince Jul 1, 2022 Accepting new patients
Cox-Monett Hospital, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Lester E. Cox Medical Centers Current Accepting new patients
Cox-Monett Hospital Inc Current Accepting new patients
Lester E. Cox Medical Centers Past Accepting new patients
Lester E Cox Medical Centers Past Accepting new patients
Skaggs Community Hospital Association Past Accepting new patients

Locations

1000 E US Highway 60
Monett, MO 65708
Phone (417) 354-1269

Interoperability endpoints

  • Direct secure messaging: louis.hakan@cernerdirect.coxhealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1366553653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802843",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641802843",
            "telephone_number": "417-730-6430",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1443 N ROBBERSON AVE",
            "address_2": "#200",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658021928",
            "telephone_number": "417-269-8061",
            "fax_number": "417-269-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKAN",
        "first_name": "LOUIS",
        "middle_name": "B.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2005012169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207357500",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.