Active NPI
Manuel Lagria Caga-Anan, M.D.
- Internal Medicine Physician
- Elkhart, KS
National Provider Identifier
1659378982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 04-26359
- Practice address
- 411 Sunset Dr
Elkhart, KS 67950 - Phone
- (620) 697-2175
- Fax
- (620) 697-2185
- NPI assigned
- Jul 1, 2005
- Last updated
- Nov 9, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 04-26359 | KS | Primary |
Addresses
Primary practice location
411 Sunset Dr
Elkhart, KS 67950
Mailing address
411 Sunset Dr
Elkhart, KS 67950
Phone (620) 697-2175
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100270900A | Medicaid | KS |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-26359 | KS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morton County Hospital | Current | Accepting new patients | |
| Johnson Chiropractic Health and Wellness Center PLLC | Past | Accepting new patients | |
| Morton County Hospital | Past | Accepting new patients |
Locations
411 Sunset St
Elkhart, KS 67950
Phone (620) 697-2141
Interoperability endpoints
- manuel.cagaanan@khindirect.org
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.
-
dba Morton County Hospital PC
- Emergency Medicine Physician
- Elkhart, KS
- NPI 1689601007
-
- 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": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320796800000",
"number": "1659378982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 SUNSET DR",
"city": "ELKHART",
"state": "KS",
"postal_code": "67950",
"telephone_number": "620-697-2175",
"fax_number": "620-697-2185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 SUNSET DR",
"city": "ELKHART",
"state": "KS",
"postal_code": "67950",
"telephone_number": "620-697-2175",
"fax_number": "620-697-2185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAGA-ANAN",
"first_name": "MANUEL",
"middle_name": "LAGRIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-01",
"last_updated": "2011-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KS",
"license": "04-26359",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100270900A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elkhart, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.