Individual provider Active NPI

Michael Sean Fenech, D.O.

  • Obstetrics & Gynecology Physician
  • Pittsburg, KS
National Provider Identifier
1588893697
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0536103 Issued in KS
Practice address
1300 E Centennial Dr
Pittsburg, KS 66762-6650
Phone
(620) 230-0044
Fax
(620) 230-0543
NPI assigned
Jul 9, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0536103 KS Primary

Addresses

Primary practice location

1300 E Centennial Dr
Pittsburg, KS 66762-6650

Mailing address

1 Mt. Carmel Way
Pittsburg, KS 66762-3807
Phone (620) 230-0044

Other identifiers 2

IdentifierTypeStateIssuer
200493130AMedicaidOK
201074480AMedicaidKS

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
I20130829000680 KS Practitioner - Obstetrics/Gynecology 6305089905 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Kansas School of Med (KC/Wich/Sal), 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Pittsburg LLCGroup PAC ID 7618418088, 45 clinicians

Practice addresses (Care Compare)

1 Mt Carmel Way
Pittsburg, KS 66762-7587

1 Mt Carmel Way FL
Pittsburg, KS 66762-7587
Phone (620) 231-6100

1300 E Centennial Dr
Mercy Clinic Pittsburg
Pittsburg, KS 66762-6650
Phone (602) 232-5705

2711 S Rouse St B
Mercy Clinic Pittsburg Pediatrics
Pittsburg, KS 66762-6621
Phone (620) 230-0044

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Pittsburg LLC Obstetrics & Gynecology CurrentSince Jul 23, 2024 Accepting new patients
Pathology Laboratory Associates, Inc. Current Accepting new patients
Regional Medical Laboratory, Inc Current Accepting new patients
Hospital District No 1 Crawford County CurrentSince Nov 18, 2019 Accepting new patients
Hospital District No 1 Crawford County CurrentSince Nov 18, 2019 Accepting new patients
Hospital District No 1 Crawford County Current Accepting new patients
Ascension Via Christi Hospital Pittsburg, Inc. Obstetrics & Gynecology CurrentSince Jul 22, 2013 Accepting new patients
Ascension Via Christi Hospital Pittsburg, Inc. Past Accepting new patients
Mercy Hospital Pittsburg Inc Past Accepting new patients

Locations

120 NW 400 Hwy
Cherokee, KS 66724
Phone (620) 457-8101

109 S Main St
Fort Scott, KS 66701
Phone (620) 223-7008

302 N Hospital Dr
Girard, KS 66743
Phone (620) 724-8291

1300 E Centennial Dr
Pittsburg, KS 66762
Phone (620) 230-0044

2711 S Rouse St
Ste B
Pittsburg, KS 66762
Phone (620) 230-0044

1 Mt Carmel Way
Pittsburg, KS 66762
Phone (620) 231-6100

1 Mt Carmel Way
Fl 2
Pittsburg, KS 66762
Phone (620) 235-7655

Interoperability endpoints

  • Direct secure messaging: michael.fenech@khindirect.org

Organizations & group practices 9

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 1

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": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1588893697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MT. CARMEL WAY",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667623807",
            "telephone_number": "620-230-0044",
            "fax_number": "620-230-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E CENTENNIAL DR",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626650",
            "telephone_number": "620-230-0044",
            "fax_number": "620-230-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENECH",
        "first_name": "MICHAEL",
        "middle_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-09",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "0536103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200493130A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201074480A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, KS

Sources for this page

Verify at the official NPI Registry.