Individual provider Active NPI

Deangelo Heaston Ferguson, MD

  • Plastic Surgery Physician
  • Topeka, KS
National Provider Identifier
1649702150
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
04-050630 Issued in KS
Practice address
2902 SW Asbury Dr
Topeka, KS 66614-4466
Phone
(785) 354-9591
Fax
(785) 327-4142
NPI assigned
Apr 3, 2017
Reactivated
Dec 7, 2017
Last updated
Aug 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 4351048917 MI
Plastic Surgery Physician 208200000X 04-050630 KS Primary

Addresses

Primary practice location

2902 SW Asbury Dr
Topeka, KS 66614-4466

Mailing address

2902 SW Asbury Dr
Topeka, KS 66614-4466
Phone (785) 354-9591

Other practice location 1

1500 SW 10th Ave
Topeka, KS 66604-1301
Phone (785) 354-6000

Other practice location 2

2660 SW 3rd St
Topeka, KS 66606-2442
Phone (785) 270-8000

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
I20250702001802 KS Practitioner - Plastic and Reconstructive Surgery 0547649741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1500 SW 10H Ave
Topeka, KS 66604-1301
Phone (785) 354-6000

2601 SW 3Rd St
Topeka, KS 66606-2438
Phone (785) 270-4630

2902 SW Asbury Dr
Topeka, KS 66614-4466
Phone (785) 354-9591

2909 SE Walnut Dr
Topeka, KS 66605-2189
Phone (785) 267-0744

4505 NW Fielding Rd
Topeka, KS 66618-2651
Phone (785) 354-9591

901 SW Garfield Ave
Topeka, KS 66606-1670
Phone (785) 354-9591

909 SW Mulvane St
Topeka, KS 66606-1677
Phone (785) 270-4613

929 SW Mulvane St
Topeka, KS 66606-1677
Phone (785) 354-6242

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision40
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-050630KSMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Jun 25, 2025 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Jun 25, 2025 Accepting new patients

Locations

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

2902 SW Asbury Dr
Topeka, KS 66614
Phone (785) 270-0187

901 SW Garfield Ave
Topeka, KS 66606

Interoperability endpoints

  • Direct secure messaging: dferguson168869@stormontvaildirect.org
  • Direct secure messaging: dferguson778222@direct.hfhs.org

Organizations & group practices 2

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 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": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1649702150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 SW ASBURY DR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666144466",
            "telephone_number": "785-354-9591",
            "fax_number": "785-327-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 SW ASBURY DR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666144466",
            "telephone_number": "785-354-9591",
            "fax_number": "785-327-4142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 SW 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666041301",
            "country_code": "US",
            "telephone_number": "785-354-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2660 SW 3rd St",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666062442",
            "country_code": "US",
            "telephone_number": "785-270-8000",
            "fax_number": "785-270-8008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "DEANGELO",
        "middle_name": "HEASTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-03",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "deactivation_date": "2017-12-07",
        "reactivation_date": "2017-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MI",
            "license": "4351048917",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "KS",
            "license": "04-050630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.