NPIMap

Individual provider Active NPI

Fadi V Bedros, M.D.

  • Nephrology Physician
  • Manhattan, KS
National Provider Identifier
1407893290
Registry record updated Jun 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
04-32696 Issued in KS
Practice address
1133 College Ave
Building B, Suite 100
Manhattan, KS 66502-2770
Phone
(785) 565-9500
Fax
(785) 565-9595
NPI assigned
Jun 1, 2006
Last updated
Jun 17, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 04-32696 KS Primary

Addresses

Primary practice location

1133 College Ave
Building B, Suite 100
Manhattan, KS 66502-2770

Mailing address

1133 College Ave
Building B, Suite 100
Manhattan, KS 66502-2770
Phone (785) 565-9500

Other identifiers 1

IdentifierTypeStateIssuer
2568592MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071203000325 KS Practitioner - Nephrology 4789571464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
My Kidney Center LLCGroup PAC ID 3274770136, 2 clinicians

Practice addresses (Care Compare)

1133 College Ave
Suite 224
Manhattan, KS 66502-2770
Phone (785) 565-9500

600 N Washington St
Council Grove, KS 66846-1422
Phone (620) 767-6811

708 N 18TH St
Marysville, KS 66508-1338
Phone (785) 562-2311

711 Genn Dr
Wamego, KS 66547-1179
Phone (785) 456-2295

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.79 of 100Reported as individual
Quality
87.3
Improvement activities
40
Cost
69.55

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prism Diagnostics, LLC Current Accepting new patients
Neuroscience & Rehabilitation Associates, LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Lima Memorial Professional Corporation Past Accepting new patients
Kidney Specialists of Minnesota, PA Nephrology PastSince Jul 20, 1992 Accepting new patients
Flint Hills Dialysis LLC PastSince Aug 1, 2010 Accepting new patients

Locations

1133 College Ave
Ste B100
Manhattan, KS 66502
Phone (785) 231-7796

Organizations & group practices 8

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.

Hospital & facility affiliations 7

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466121600000",
    "number": "1407893290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 COLLEGE AVE",
            "address_2": "BUILDING B, SUITE 100",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022770",
            "telephone_number": "785-565-9500",
            "fax_number": "785-565-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 COLLEGE AVE",
            "address_2": "BUILDING B, SUITE 100",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022770",
            "telephone_number": "785-565-9500",
            "fax_number": "785-565-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDROS",
        "first_name": "FADI",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2016-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KS",
            "license": "04-32696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2568592",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.