Oswaldo Cruz Bacani Sr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

04-17538 Issued in KS

Practice address

1525 Madison St Ste 3
Fredonia, KS 66736-1704

Phone

(620) 378-3700

Fax

(620) 378-3536

NPI assigned

Aug 17, 2006

Last updated

Oct 7, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/0153994b-73fd-40ca-acc3-d43bb5781a7b/
• Direct secure messaging: oswaldo.cruzbacani@khindirect.org

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.

• Fredonia Regional Hospital

  • Critical Access Hospital
  • Fredonia, KS
  • NPI 1285634006
  Medicare reassignment NPD
• Jennifer Bacani McKenney, MD, LLC

  • Family Medicine Physician
  • Fredonia, KS
  • NPI 1750754610
  Medicare reassignment NPD
• Oswaldo C Bacani MD Chartered

  • General Practice Physician
  • Fredonia, KS
  • NPI 1407183494
  Authorized official Same address or phone
• Fredonia Regional Hospital

  dba Drs. Morris and Hill Medical Clinic

  • Rural Health Clinic/Center
  • Fredonia, KS
  • NPI 1639957673
  NPD

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254873600000",
    "number": "1467565879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 576",
            "city": "FREDONIA",
            "state": "KS",
            "postal_code": "667360576",
            "telephone_number": "620-378-3700",
            "fax_number": "620-378-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 MADISON ST STE 3",
            "city": "FREDONIA",
            "state": "KS",
            "postal_code": "667361704",
            "telephone_number": "620-378-3700",
            "fax_number": "620-378-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACANI",
        "first_name": "OSWALDO",
        "middle_name": "CRUZ",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2009-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-17538",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "04-17538",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Healthcare Associates, LLC
• Ambrosio P Mendiola MD LLC
• Koralyn Dawn Barkman, APRN-C
• James E Clay, DO
• Ronald Guy Cleverley, D.D.S., P.A.
• County of Wilson (Wilson County Health Department)
• CPF Senior Living - Fredonia LLC (Vintage Park at Fredonia)

• Family Medicine Physician in Fredonia, KS
• Providers in Fredonia, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.