NPIMap

Individual provider Active NPI

Robert Ladd, MD

  • Family Medicine Physician
  • La Crosse, KS
National Provider Identifier
1558334839
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
76485 Issued in MA
Practice address
801 Locust St
La Crosse, KS 67548-9673
Phone
(785) 222-2545
Fax
(785) 222-2868
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 76485 MA Primary

Addresses

Primary practice location

801 Locust St
La Crosse, KS 67548-9673

Mailing address

801 Locust St
La Crosse, KS 67548-9673
Phone (785) 222-2545

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
I20170508000949 KS Practitioner - Family Practice 5597042226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush County Memorial HospitalGroup PAC ID 3476564840, 9 clinicians

Practice addresses (Care Compare)

801 Locust St
La Crosse, KS 67548-9673
Phone (785) 222-2564

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76485MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rush County Memorial Hospital CurrentSince Apr 24, 2017 Accepting new patients
Rush County Nursing Home Society Past Accepting new patients
Rush County Memorial Hospital Past Accepting new patients
Rush County Memorial Hospital Past Accepting new patients

Locations

801 Locust St
La Crosse, KS 67548
Phone (785) 222-2545

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Rush County Memorial HospitalLa Crosse, KS, CCN 170781 Hospital Corporate Officer (75%)
W-2 Managing Employee (75%)		 Jan 31, 2024
Jan 31, 2024
Locust Grove VillageLa Crosse, KS, CCN 175369 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 1, 2019
May 1, 2019

Owned or controlled facilities with NPI records 2

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

Organizations & group practices 4

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 12

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1558334839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 LOCUST ST",
            "city": "LA CROSSE",
            "state": "KS",
            "postal_code": "675489673",
            "telephone_number": "785-222-2545",
            "fax_number": "785-222-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 LOCUST ST",
            "city": "LA CROSSE",
            "state": "KS",
            "postal_code": "675489673",
            "telephone_number": "785-222-2545",
            "fax_number": "785-222-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADD",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "76485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, KS

Sources for this page

Verify at the official NPI Registry.