Active NPI
Kyle A. Weeden, OD
- Optometrist
- Topeka, KS
National Provider Identifier
1669600136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- KS1830
- Practice address
- 2008 SW Gage Blvd
Topeka, KS 66604-3340 - Phone
- (785) 354-8383
- Fax
- (785) 354-8386
- NPI assigned
- Jun 23, 2009
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | KS1830 | KS | Primary |
Addresses
Primary practice location
2008 SW Gage Blvd
Topeka, KS 66604-3340
Mailing address
247 SE Main St
Lees Summit, MO 64063-2331
Phone (816) 434-5858
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00796972 | Other | KS | RAILROAD MEDICARE |
| DF9773 | Other | KS | GROUP RAILROAD MEDICARE NUMBER |
| 1124043021 | Other | KS | GROUP NPI NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150921001789 | MO | Practitioner - Optometry | 1850445313 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Missouri St Louis - School of Optometry, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cokingtin Eye Center PA
Practice addresses (Care Compare)
506 Burkarth Rd
Suite a
Warrensburg, MO 64093-3180
Phone (660) 747-2202
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.99 of 100
- Quality
- 69.1
- Improvement activities
- 40
- Cost
- 77.84
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KS1830 | KS | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cokingtin Eye Center PA | Current | Accepting new patients | |
| Cokingtin Eye Center PA | Current | Accepting new patients | |
| Cokingtin Eye Center PA | Past | Accepting new patients |
Locations
1204 Winchester Dr
Sedalia, MO 65301
Phone (660) 827-7000
506 Burkarth Rd
Ste A
Warrensburg, MO 64093
Phone (660) 747-2202
Interoperability endpoints
- https://app.meldrx.com/api/fhir/mi-cec
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 and National Provider Directory roles.
-
- Ophthalmology Physician
- Lawrence, KS
- NPI 1548228406
-
- Ophthalmology Physician
- Kansas City, MO
- NPI 1386602241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541548800000",
"number": "1669600136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "247 SE MAIN ST",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640632331",
"telephone_number": "816-434-5858",
"fax_number": "816-434-5845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2008 SW GAGE BLVD",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666043340",
"telephone_number": "785-354-8383",
"fax_number": "785-354-8386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEEDEN",
"first_name": "KYLE",
"middle_name": "A.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-23",
"last_updated": "2018-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KS",
"license": "KS1830",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00796972",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP RAILROAD MEDICARE NUMBER",
"identifier": "DF9773",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI NUMBER",
"identifier": "1124043021",
"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 Nov 7, 2018; 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.