Individual provider Active NPI

William Travis Dierenfeldt, MD

  • Gastroenterology Physician
  • Manhattan, KS
National Provider Identifier
1477591634
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
04-28673 Issued in KS
Practice address
1325 Research Park Dr
Manhattan, KS 66502-5000
Phone
(785) 537-2651
NPI assigned
Jun 2, 2006
Last updated
Jan 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 04-28673 KS Primary

Addresses

Primary practice location

1325 Research Park Dr
Manhattan, KS 66502-5000

Mailing address

1325 Research Park Dr
Manhattan, KS 66502-5000
Phone (785) 537-2651

Other practice location 1

1102 Saint Marys Rd
Junction City, KS 66441-4139
Phone (785) 238-0325

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address wdierenfeldt21116@stormontvaildirect.org Direct COTTON O'NEIL CLINIC REVOCABLE TRUST
Direct Messaging Address wdierenfeldt21116@stormontvaildirect.org Direct STORMONT-VAIL HEALTHCARE INC

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101027000462 KS Practitioner - Gastroenterology 6406040146 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Missouri, Kansas City, School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1325 Research Park Dr
Manhattan, KS 66502-5000
Phone (785) 270-8723

1500 SW 10H Ave
Topeka, KS 66604-1301
Phone (785) 354-6000

1823 College Ave
Manhattan, KS 66502-3381
Phone (785) 354-9591

901 SW Garfield Ave
Topeka, KS 66606-1670
Phone (785) 354-9591

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy408
Upper gastrointestinal (GI) endoscopy for acid reflux500

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stormont Vail Health Flint Hills LLC CurrentSince Apr 23, 2023 Accepting new patients
Stormont Vail Health Flint Hills LLC Current Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Jan 28, 2021 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust Gastroenterology CurrentSince Jan 28, 2021 Accepting new patients
Stormont Vail Health Flint Hills LLC CurrentSince Apr 23, 2023 Accepting new patients

Locations

1102 Saint Marys Rd
Junction City, KS 66441
Phone (785) 238-0325

1110 Saint Marys Rd
Junction City, KS 66441
Phone (785) 238-4131

1014 Poyntz Ave
Ste B
Manhattan, KS 66502
Phone (785) 539-0156

1213 Hylton Heights Rd
Ste 101
Manhattan, KS 66502
Phone (785) 539-0156

1325 Research Park Dr
Manhattan, KS 66502
Phone (785) 537-2651

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

901 SW Garfield Ave
Topeka, KS 66606

Interoperability endpoints

  • Direct secure messaging: wdierenfeldt21116@stormontvaildirect.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Manhattan Surgical HospitalManhattan, KS, CCN 170190 Hospital General Partnership Interest Sep 1, 2002

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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 5

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1477591634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 RESEARCH PARK DR",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665025000",
            "telephone_number": "785-537-2651",
            "fax_number": "785-539-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 RESEARCH PARK DR",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665025000",
            "telephone_number": "785-537-2651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 Saint Marys Rd",
            "address_purpose": "LOCATION",
            "city": "Junction City",
            "state": "KS",
            "postal_code": "664414139",
            "country_code": "US",
            "telephone_number": "785-238-0325",
            "fax_number": "785-576-1113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIERENFELDT",
        "first_name": "WILLIAM",
        "middle_name": "TRAVIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KS",
            "license": "04-28673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wdierenfeldt21116@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": "1014 Poyntz Ave Ste B",
            "city": "Manhattan",
            "state": "KS",
            "country_code": "US",
            "postal_code": "665026758",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wdierenfeldt21116@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": "1014 Poyntz Ave Ste B",
            "city": "Manhattan",
            "state": "KS",
            "country_code": "US",
            "postal_code": "665026758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.