Individual provider Active NPI

Ken H Baxa, DO

  • Rheumatology Physician
  • Hoisington, KS
National Provider Identifier
1386020741
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
05-40387 Issued in KS
Practice address
252 W 9TH St Ste a
Hoisington, KS 67544-1700
Phone
(620) 653-2386
Fax
(620) 653-4186
NPI assigned
Aug 7, 2015
Last updated
Mar 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2014034707 MO
Internal Medicine Physician 207R00000X 05-40387 KS
Rheumatology Physician 207RR0500X 05-40387 KS Primary

Addresses

Primary practice location

252 W 9TH St Ste a
Hoisington, KS 67544-1700

Mailing address

252 W 9TH St
Hoisington, KS 67544-1725
Phone (620) 653-2386

Other practice location 1

1604 Aylward Ave
Ellsworth, KS 67439-2541
Phone (785) 472-3111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CBH@ClaraBarton.CernerDirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, 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

Enrollment IDStateProvider typePAC IDDetails
I20160222002319 MO Practitioner - Internal Medicine 1557666096 Reassigns benefits to 1 organization
I20200610001200 KS Practitioner - RheumatologyPractitioner - Internal Medicine 1557666096 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Clara Barton Hospital Association Inc Hoisington KansasGroup PAC ID 6709798622, shared by 5 NPIs, 38 clinicians

Practice addresses (Care Compare)

250 W 9TH St
Hoisington, KS 67544-1706
Phone (620) 653-2114

252 W 9TH St
Hoisington, KS 67544-1725
Phone (620) 653-2386

351 W 10TH St
Hoisington, KS 67544-1715
Phone (620) 653-4191

353 W 10TH St
Hoisington, KS 67544-1715
Phone (620) 292-6060

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014034707MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lindsborg Community Hospital Association CurrentSince Nov 20, 2020 Accepting new patients
Ellsworth County Medical Center CurrentSince Jun 1, 2020 Accepting new patients
The Clara Barton Hospital Association, Inc. Hoisington Kansas Current Accepting new patients
Hospital District No 1 Marion Co CurrentSince Sep 1, 2020 Accepting new patients
Scotland County Memorial Hospital Internal Medicine Current Accepting new patients
The Clara Barton Hospital Association, Inc. Hoisington Kansas CurrentSince May 20, 2020 Accepting new patients
Hospital District No 1 Marion Co Current Accepting new patients
Great Plains of Republic Co., Inc. CurrentSince Mar 1, 2023 Accepting new patients
Great Plains of Republic Co., Inc. Current Accepting new patients
Lindsborg Community Rural Health Clinic Inc Current Accepting new patients
Hospital District No 1 Marion Co CurrentSince Sep 1, 2020 Accepting new patients
Ellsworth County Medical Center CurrentSince Jun 1, 2020 Accepting new patients
Scotland County Memorial Hospital CurrentSince Jan 2, 2016 Accepting new patients
Scotland County Memorial Hospital CurrentSince Jan 2, 2016 Accepting new patients
Lindsborg Community Hospital Association CurrentSince Nov 20, 2020 Accepting new patients
Great Plains of Republic Co., Inc. CurrentSince Jan 1, 2026 Accepting new patients
Lindsborg Community Hospital Association Current Accepting new patients
Great Plains of Republic Co., Inc. CurrentSince Mar 1, 2023 Accepting new patients
Ellsworth County Medical Center Current Accepting new patients
The Clara Barton Hospital Association Inc Hoisington Kansas Past Accepting new patients

Locations

2420 G St
Belleville, KS 66935
Phone (785) 527-2254

1602 Aylward Ave
Ellsworth, KS 67439
Phone (785) 472-3111

1604 Aylward Ave
Ellsworth, KS 67439
Phone (785) 472-3111

906 McKinley St
Great Bend, KS 67530
Phone (620) 793-6990

250 W 9th St
Hoisington, KS 67544
Phone (620) 653-2114

252 W 9th St
Ste A
Hoisington, KS 67544
Phone (620) 653-2386

605 W Lincoln St
Lindsborg, KS 67456
Phone (785) 227-3308

535 S Freeborn St
Marion, KS 66861
Phone (620) 382-2033

410 N Main St
Russell, KS 67665
Phone (785) 483-3811

450 E Sigler Ave
Ste A
Memphis, MO 63555
Phone (660) 465-2828

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/70091b8b-c363-42f8-b4d5-3b99f0fb60f1/

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1386020741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 W 9TH ST",
            "city": "HOISINGTON",
            "state": "KS",
            "postal_code": "675441725",
            "telephone_number": "620-653-2386",
            "fax_number": "620-653-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 W 9TH ST STE A",
            "city": "HOISINGTON",
            "state": "KS",
            "postal_code": "675441700",
            "telephone_number": "620-653-2386",
            "fax_number": "620-653-4186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1604 Aylward Ave",
            "address_purpose": "LOCATION",
            "city": "Ellsworth",
            "state": "KS",
            "postal_code": "674392541",
            "country_code": "US",
            "telephone_number": "785-472-3111",
            "fax_number": "785-472-5760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAXA",
        "first_name": "KEN",
        "middle_name": "H",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-07",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2014034707",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "05-40387",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "KS",
            "license": "05-40387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CBH@ClaraBarton.CernerDirect.com",
            "affiliation": "N",
            "endpointDescription": "Clara Barton Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "252 W 9th St Ste A",
            "city": "Hoisington",
            "state": "KS",
            "country_code": "US",
            "postal_code": "675441700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hoisington, KS

Sources for this page

Verify at the official NPI Registry.