Elias Chediak IV, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

14762 Issued in KS

Practice address

601 Missouri St
Ste 1
Lawrence, KS 66044-2361

Phone

(785) 841-7430

Fax

(785) 841-6411

NPI assigned

Jun 1, 2005

Reactivated

Mar 27, 2006

Last updated

Jan 14, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Specialty

Psychiatry

Education

Other, 1965

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Elias Chediak, M.D., P.a.

  • Mental Health Counselor
  • Lawrence, KS
  • NPI 1104942630
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1528060878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MISSOURI ST",
            "address_2": "STE 1",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442361",
            "telephone_number": "785-841-7430",
            "fax_number": "785-841-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MISSOURI ST",
            "address_2": "STE 1",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442361",
            "telephone_number": "785-841-7430",
            "fax_number": "785-841-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEDIAK",
        "first_name": "ELIAS",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2014-01-14",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "14762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles L. Kincaid D.D.S. P.a.
• Susan Marie Chase, MSW, LSCSW
• Emilie Chavez
• Lexie Catherine Chavez
• Henry Parker Cheatum
• Rebecca L Cheek-King, LCP
• Qiannan Chen
• Eleanora Marie Chier
• Mary Childs
• Chiropractic Health Center (Chiropractic Health Center of Lawrence, Ctd)

• Psychiatry Physician in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Psychiatry Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.