Active NPI
Stephen F Hagan, M.D.
- Pulmonary Disease Physician
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 04-19347
- Practice address
- 1035 N Emporia St
Ste 102
Wichita, KS 67214-2938 - Phone
- (316) 262-1057
- Fax
- (316) 267-3935
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 04-19347 | KS | Primary |
Addresses
Primary practice location
1035 N Emporia St
Ste 102
Wichita, KS 67214-2938
Mailing address
1035 N Emporia St
Ste 102
Wichita, KS 67214-2938
Phone (316) 262-1057
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100202000A | Medicaid | KS |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050614000606 | KS | Practitioner - Pulmonary Disease | 1153383765 | Practice locations: Wichita, KS |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-19347 | KS | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen F Hagan MD | Pulmonary Disease | Current | Accepting new patients |
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Enhabit Hospice | Hospice | Contracted Managing Employee | Jul 25, 2018 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Wichita, KS
- NPI 1013261320
Contracted Managing Employee
Organizations & group practices 1
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": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531353600000",
"number": "1376569616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 N EMPORIA ST",
"address_2": "STE 102",
"city": "WICHITA",
"state": "KS",
"postal_code": "672142938",
"telephone_number": "316-262-1057",
"fax_number": "316-267-3935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 N EMPORIA ST",
"address_2": "STE 102",
"city": "WICHITA",
"state": "KS",
"postal_code": "672142938",
"telephone_number": "316-262-1057",
"fax_number": "316-267-3935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGAN",
"first_name": "STEPHEN",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2018-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "KS",
"license": "04-19347",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100202000A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.