NPIMap

Organization Active NPI

Pediatric Associates of Topeka, P.a.

  • Pediatrics Physician
  • Topeka, KS
National Provider Identifier
1669405429
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDIATRIC ASSOCIATES OF TOPEKA, P.A.
Practice address
3500 SW 6TH Ave
Topeka, KS 66606-2806
Phone
(785) 235-0335
Fax
(785) 235-0368
NPI assigned
Jul 7, 2006
Last updated
Mar 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

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

Authorized official

Name
Mr. Stephen R Iliff, CPA
Title
Office Administrator
Phone
(785) 235-0335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

3500 SW 6TH Ave
Topeka, KS 66606-2806

Mailing address

3500 SW 6TH Ave
Topeka, KS 66606-2806
Phone (785) 235-0335

Other identifiers 2

IdentifierTypeStateIssuer
100087820AMedicaidKS
3745OtherKSBLUE CROSS BLUE SHIELD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D0450265Pediatric Associates3500 SW 6TH Ave, Topeka, KS 66606Certificate of waiverOct 11, 2027

National Provider Directory

National Provider Directory

Locations

3500 SW 6th Ave
Topeka, KS 66606
Phone (785) 233-7138

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1669405429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 SW 6TH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062806",
            "telephone_number": "785-235-0335",
            "fax_number": "785-235-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 SW 6TH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062806",
            "telephone_number": "785-235-0335",
            "fax_number": "785-235-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF TOPEKA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "ILIFF",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "785-235-0335",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100087820A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3745",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.