Active NPI
Kevin D Dishman, MD
- Hospitalist Physician
- Topeka, KS
National Provider Identifier
1477503662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 04-26172
- Practice address
- 1500 SW 10TH Ave
Topeka, KS 66604-1301 - Phone
- (785) 354-5142
- Fax
- (785) 354-6349
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 04-26172 | KS | Primary |
Addresses
Primary practice location
1500 SW 10TH Ave
Topeka, KS 66604-1301
Mailing address
1500 SW 10TH Ave
Topeka, KS 66604-1301
Phone (785) 354-5142
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100266350B | Medicaid | KS |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kdishman3036@stormontvaildirect.org | Direct | COTTON-O'NEIL CLINIC REVOCABLE TRUST |
| Direct Messaging Address | kdishman3036@stormontvaildirect.org | Direct | STORMONT-VAIL HEALTHCARE INC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- kdishman3036@stormontvaildirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644796800000",
"number": "1477503662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 SW 10TH AVE",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666041301",
"telephone_number": "785-354-5142",
"fax_number": "785-354-6349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 SW 10TH AVE",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666041301",
"telephone_number": "785-354-5142",
"fax_number": "785-354-6349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISHMAN",
"first_name": "KEVIN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2022-02-14",
"certification_date": "2022-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "KS",
"license": "04-26172",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100266350B",
"state": "KS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kdishman3036@stormontvaildirect.org",
"affiliation": "Y",
"endpointDescription": "SVH Secure Messaging",
"affiliationName": "COTTON-O'NEIL CLINIC REVOCABLE TRUST",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "1500 SW 10th Ave",
"city": "Topeka",
"state": "KS",
"country_code": "US",
"postal_code": "666041301",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kdishman3036@stormontvaildirect.org",
"affiliation": "Y",
"endpointDescription": "SVH Secure Messaging",
"affiliationName": "STORMONT-VAIL HEALTHCARE INC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "1500 SW 10th Ave",
"city": "Topeka",
"state": "KS",
"country_code": "US",
"postal_code": "666041301",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.