Active NPI
Milagros Perido, PA C
- Surgical Physician Assistant
- Elkhart, KS
National Provider Identifier
1659365823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 123105
- Practice address
- 411 Sunset Dr
Elkhart, KS 67950-0997 - Phone
- (620) 697-2155
- Fax
- (620) 697-4275
- NPI assigned
- Sep 2, 2005
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 123105 | KS | Primary |
Addresses
Primary practice location
411 Sunset Dr
Elkhart, KS 67950-0997
Mailing address
PO Box 997
Elkhart, KS 67950-0997
Phone (620) 697-2155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123105 | KS | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dominador T. Perido MD PA | Past | Accepting new patients | |
| Johnson Chiropractic Health and Wellness Center PLLC | Past | Accepting new patients | |
| Morton County Hospital | Past | Accepting new patients |
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.
-
- Surgery Physician
- Elkhart, KS
- NPI 1083725139
-
- Health Maintenance Organization
- Guymon, OK
- NPI 1144429945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1659365823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 997",
"city": "ELKHART",
"state": "KS",
"postal_code": "679500997",
"telephone_number": "620-697-2155",
"fax_number": "620-697-4275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 SUNSET DR",
"city": "ELKHART",
"state": "KS",
"postal_code": "679500997",
"telephone_number": "620-697-2155",
"fax_number": "620-697-4275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERIDO",
"first_name": "MILAGROS",
"name_prefix": "Mrs.",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "KS",
"license": "123105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkhart, KS
- Morton County Hospital (Keyes Medical Clinic)
- Morton County Hospital (Morton County Medical Clinic)
- Morton County SNF Opco LLC (Morton County Senior Living Community)
- Morton County SNF Opco LLC (Morton County Senior Living Community)
- Dominador T Perido Jr.
- Satanta District Hospital and Long-Term Care
- Linell Tucker, DPT
- Usd 218 - Elkhart
- Vision Source of Liberal Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.