Individual provider Active NPI

Luke I Cox, CRNA

  • Certified Registered Nurse Anesthetist
  • Newton, KS
National Provider Identifier
1629128509
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
55556 Issued in KS
Practice address
600 Medical Center Drive
Newton, KS 67114
Phone
(316) 283-2700
NPI assigned
Jan 11, 2007
Last updated
Sep 17, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 55556 KS Primary

Addresses

Primary practice location

600 Medical Center Drive
Newton, KS 67114

Mailing address

425 N Belmont Ave
Wichita, KS 67208-3810
Phone (316) 304-6635

Other identifiers 4

IdentifierTypeStateIssuer
200419350AMedicaidKS
55556OtherKSRNA LICENSE
145403OtherKSBCBS OF KS
P00398949OtherRR MEDICARE GROUP CQ2302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070202000139 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 0840292959 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas Spine Anesthesia Corporation PAGroup PAC ID 1153586821, 56 clinicians

Practice addresses (Care Compare)

3223 N Webb Rd
Suite 5
Wichita, KS 67226-8176
Phone (316) 618-8305

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
55556KSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Colleagues KS PA Nurse Anesthetist, Certified Registered CurrentSince Sep 8, 2024 Accepting new patients
Newton Anesthesia Services PA Nurse Anesthetist, Certified Registered CurrentSince Aug 31, 2015 Accepting new patients
Kansas Spine Anesthesia Corporation PA Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2024 Accepting new patients
Anesthesia Consulting Services, PA Past Accepting new patients
Mid West Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

629 S Plummer Ave
Chanute, KS 66720
Phone (316) 431-4000

3001 Avenue A
Dodge City, KS 67801
Phone (620) 225-8400

600 Medical Center Dr
Newton, KS 67114
Phone (316) 283-2700

2620 N Webb Rd
Wichita, KS 67226
Phone (316) 358-0813

2818 N Greenwich Rd
Wichita, KS 67226
Phone (316) 685-2207

3121 N Webb Rd
Ste 100
Wichita, KS 67226

3223 N Webb Rd
Ste 5
Wichita, KS 67226
Phone (316) 462-5000

3333 N Webb Rd
Wichita, KS 67226
Phone (316) 462-5000

4013 N Ridge Rd
Ste 100
Wichita, KS 67205
Phone (316) 722-8015

818 N Emporia St
Ste 108
Wichita, KS 67214
Phone (316) 262-7263

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 2

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1629128509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N BELMONT AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083810",
            "telephone_number": "316-304-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MEDICAL CENTER DRIVE",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "67114",
            "telephone_number": "316-283-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "LUKE",
        "middle_name": "I",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "55556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200419350A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RNA LICENSE",
            "identifier": "55556",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KS",
            "identifier": "145403",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP CQ2302",
            "identifier": "P00398949",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.