Active NPI
Kurtis William Davis, M.D.
- Family Medicine Physician
- Lakin, KS
National Provider Identifier
1639335193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 04-39254
- Practice address
- 506 E Thorpe St
Lakin, KS 67860-9625 - Phone
- (620) 355-7550
- Fax
- (620) 355-7500
- NPI assigned
- Aug 4, 2008
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036128271 | IL | |
| Family Medicine Physician | 207Q00000X | 04-39254 | KS | Primary |
Addresses
Primary practice location
506 E Thorpe St
Lakin, KS 67860-9625
Mailing address
506 E Thorpe St
Lakin, KS 67860-9625
Phone (620) 355-7550
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036128271 | Medicaid | IL | |
| 201140520A | Medicaid | KS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kearny County Hospital
Practice addresses (Care Compare)
506 E Thorpe St
Lakin, KS 67860-9625
Phone (620) 355-7550
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-39254 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kearny County Hospital | Current | Accepting new patients | |
| Kearny County Hospital | Current | Accepting new patients | |
| Kearny County Hospital | Current | Accepting new patients |
Locations
500 E Thorpe St
Lakin, KS 67860
Phone (620) 355-7111
506 E Thorpe St
Lakin, KS 67860
Phone (620) 355-7500
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/554843c8-8d71-4199-8499-511dff49069d/
- kurt.davis@khindirect.org
- kurtis.davis.1@18308.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Health Service Clinic/Center
- Lakin, KS
- NPI 1447221569
-
- Critical Access Hospital
- Lakin, KS
- NPI 1821096322
-
dba Family Health Center
- Health Service Clinic/Center
- Deerfield, KS
- NPI 1114282563
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bob Wilson Memorial Hospital
- Critical Access Hospital
- Ulysses, KS
- NPI 1235826454
-
dba St. Catherine Hospital - Garden City
- General Acute Care Hospital
- Garden City, KS
- NPI 1659360196
-
- Critical Access Hospital
- Syracuse, KS
- NPI 1932136074
-
- Critical Access Hospital
- Lakin, KS
- NPI 1821096322
-
dba Wildcat PT Home Health
- Home Health Agency
- Garden City, KS
- NPI 1154339224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1639335193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 E THORPE ST",
"city": "LAKIN",
"state": "KS",
"postal_code": "678609625",
"telephone_number": "620-355-7550",
"fax_number": "620-355-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 E THORPE ST",
"city": "LAKIN",
"state": "KS",
"postal_code": "678609625",
"telephone_number": "620-355-7550",
"fax_number": "620-355-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KURTIS",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-04",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036128271",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "04-39254",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036128271",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201140520A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakin, KS
- Bryant Chiropractic Clinic PA
- Tiffany Ann Bryant, D.C.
- Kendal Jay Carswell Sr., LMSW, LCAC
- County of Kearny (Kearny County Health Department)
- County of Kearny (Kearny County EMS)
- Wilma Louise Day, KIPBS CERTIFICATED
- Joseph Stephen Flax, PA-C
- Forever Home Renovations
- Mark W Frakes, MD
- Sara Frances Franco, LPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.