Individual provider Active NPI

Masoud Noruzian, MD

  • Pediatrics Physician
  • Topeka, KS
National Provider Identifier
1669669669
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0434525 Issued in KS
Practice address
4100 SW 15TH St
Topeka, KS 66604-4333
Phone
(785) 273-7871
Fax
(785) 273-8412
NPI assigned
Oct 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0434525 KS Primary

Addresses

Primary practice location

4100 SW 15TH St
Topeka, KS 66604-4333

Mailing address

4100 SW 15TH St
Topeka, KS 66604-4333
Phone (785) 273-7871

Other identifiers 4

IdentifierTypeStateIssuer
KA2129002OtherKSMEDICARE PTAN
14550MedicaidND
200674650AMedicaidKS
6702060MedicaidSD

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mnoruzian7023@stormontvaildirect.org Direct STORMONT-VAIL HEALTHCARE INC
Direct Messaging Address mnoruzian7023@stormontvaildirect.org Direct COTTON O'NEIL CLINIC REVOCABLE TRUST

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
I20110329000957 KS Practitioner - Pediatric Medicine 6901992908 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0434525KSMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Jan 27, 2022 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Jan 27, 2022 Accepting new patients

Locations

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

4100 SW 15th St
Topeka, KS 66604
Phone (785) 273-7871

901 SW Garfield Ave
Topeka, KS 66606

Interoperability endpoints

  • Direct secure messaging: masoud.noruzian@avera.sdhealthlink.net
  • Direct secure messaging: mnoruzian7023@stormontvaildirect.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1669669669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 SW 15TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666044333",
            "telephone_number": "785-273-7871",
            "fax_number": "785-273-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 SW 15TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666044333",
            "telephone_number": "785-273-7871",
            "fax_number": "785-273-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORUZIAN",
        "first_name": "MASOUD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-03",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "0434525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "KA2129002",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14550",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200674650A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6702060",
            "state": "SD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mnoruzian7023@stormontvaildirect.org",
            "affiliation": "Y",
            "endpointDescription": "SVH Secure messaging",
            "affiliationName": "STORMONT-VAIL HEALTHCARE INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "4100 SW 15th St",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666044333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mnoruzian7023@stormontvaildirect.org",
            "affiliation": "Y",
            "endpointDescription": "SVH Secure messaging",
            "affiliationName": "COTTON O'NEIL CLINIC REVOCABLE TRUST",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "4100 SW 15th St",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666044333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.