Kwame Eagleton, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

TP10034748 Issued in TX

Practice address

1200 S Columbia Rd
Department of Anesthesiology
Grand Forks, ND 58201-4036

Phone

(701) 780-5000

NPI assigned

Jun 10, 2009

Last updated

Aug 23, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, KS2 enrollments

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 2

Specialty

Anesthesiology

Education

University of Texas Medical Branch at Galveston, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wichita Anesthesiology CharteredGroup PAC ID 4587577796, 68 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wesley Medical Center Hospital, Wichita, KS, CCN 170123
• Rock Regional Hospital, LLC Hospital, Derby, KS, CCN 170204

Merit-based Incentive Payment System (MIPS)

Final score

40.05 of 100Reported as group

Quality

47.12

Improvement activities

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Wichita Anesthesiology Chartered

  • Anesthesiology Physician
  • Wichita, KS
  • NPI 1407848450
  Medicare reassignment Care Compare group
• Emergenchealth PLLC

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1467970897
  Medicare reassignment NPD
• Premier Anesthesia of Huntsville a Division of Premier Anesthesia LLC

  • Anesthesiology Physician
  • McAllen, TX
  • NPI 1346570355
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Wesley Medical Center LLC

  dba Wesley LifeWatch

  • Land Ambulance
  • Wichita, KS
  • NPI 1205760006

  Hospital

  Care Compare affiliation
• Wesley Medical Center LLC

  dba Wesley Medical Center

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1447299649
  Care Compare affiliation

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377216000000",
    "number": "1376779827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2397A S 36TH ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582018841",
            "telephone_number": "713-416-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S COLUMBIA RD",
            "address_2": "DEPARTMENT OF ANESTHESIOLOGY",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014036",
            "telephone_number": "701-780-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAGLETON",
        "first_name": "KWAME",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-10",
        "last_updated": "2013-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "TP10034748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jalyn Marie Duttenhefer
• Susan J Dvorak, PA
• Kiran Dwarakanath, MD
• Hannah Kathleen Dybwad, SLP
• Anne Dymowski
• Amanda Eastman, PHARMD RPH
• David B Eberly, PA-C
• Rebekah Ebertowski, M.S. CCC-SLP
• Thomas Ebertowski
• Lily Marie Eberts

• Anesthesiology Physician in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Anesthesiology Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.