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
Sex
Male
Sole proprietor
Yes

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.

Hospital & facility affiliations 7

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

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 LLC 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

  • Flint Hills Dialysis LLC Dialysis facility, Manhattan, KS, CCN 172517
  • Flint Hills Dialysis of Marysville Dialysis facility, Marysville, KS, CCN 172556
  • Stormont Vail Health Flint Hills, LLC Hospital, Junction City, KS, CCN 170074
  • Community Memorial Healthcare, Inc. Hospital, Marysville, KS, CCN 171363
  • Clay County Medical Center Hospital, Clay Center, KS, CCN 171371
  • Ascension Via Christi Hospital Manhattan, Inc Hospital, Manhattan, KS, CCN 170142
  • Wamego Health Center Hospital, Wamego, KS, CCN 171337

Merit-based Incentive Payment System (MIPS)

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

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

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
Flint Hills Dialysis LLC PastSince Aug 1, 2010 Accepting new patients
Kidney Specialists of Minnesota, PA Nephrology PastSince Jul 20, 1992 Accepting new patients
Lima Memorial Professional Corporation Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1133 College Ave
Ste B100
Manhattan, KS 66502
Phone (785) 565-9500

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

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

NPPES NPI Registry
IdentifierTypeStateIssuer
2568592MedicaidOH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 17, 2016.

{
    "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.