Individual provider Active NPI

Todd Steven Oberzan, MD

  • Diagnostic Radiology Physician
  • Lawrence, KS
National Provider Identifier
1619920329
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME93536 Issued in KS
Practice address
1112 W 6TH St
Suite 110
Lawrence, KS 66044
Phone
(785) 841-3211
NPI assigned
May 17, 2006
Reactivated
Nov 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME93536 KS Primary

Addresses

Primary practice location

1112 W 6TH St
Suite 110
Lawrence, KS 66044

Mailing address

1112 W 6TH St
Suite 110
Lawrence, KS 66044-2215
Phone (785) 841-3211

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
I20060822000586 KS Practitioner - Diagnostic Radiology 5092746792 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Kansas Medical College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McPherson Hospital IncGroup PAC ID 1153232418, 66 clinicians
Kansas Imaging Consultants PAGroup PAC ID 8921082041, 27 clinicians

Practice addresses (Care Compare)

1000 Hospital Dr
McPherson, KS 67460-2326
Phone (620) 241-2250

3600 E Harry St
Wichita, KS 67218-3713
Phone (316) 689-5050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.14 of 100Reported as group
Quality
100
Improvement activities
40
Cost
93.8

Merit-based Incentive Payment System (MIPS)

Final score
84.81 of 100Reported as group
Quality
85
Improvement activities
40
Cost
76.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME93536KSMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiologic Professional Services. P.a. CurrentSince Jul 1, 2006 Accepting new patients
McPherson Hospital, Inc. CurrentSince Jul 1, 2025 Accepting new patients
McPherson Hospital, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Family Practice Associates of McPherson, L.L.P. Current Accepting new patients
Kansas Imaging Consultants, PA Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Sunflower Imaging CurrentSince Jul 1, 2024 Accepting new patients
Shands Teaching Hospital and Clinics Inc Past Accepting new patients

Locations

325 Maine St
Lawrence, KS 66044
Phone (785) 505-2988

1112 W 6th St
Ste 110
Lawrence, KS 66044
Phone (784) 841-3211

1000 Hospital Dr
McPherson, KS 67460
Phone (316) 241-2250

1000 Hospital Dr
#301
McPherson, KS 67460
Phone (620) 241-0917

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426

Organizations & group practices 7

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 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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1619920329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 W 6TH ST",
            "address_2": "SUITE 110",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442215",
            "telephone_number": "785-841-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 W 6TH ST",
            "address_2": "SUITE 110",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66044",
            "telephone_number": "785-841-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERZAN",
        "first_name": "TODD",
        "middle_name": "STEVEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2007-11-16",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "ME93536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.