NPIMap

Individual provider Active NPI

Roger Allen Klein, MD

  • Family Medicine Physician
  • Lyons, KS
National Provider Identifier
1689088379
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-38839 Issued in KS
Practice address
1221 W Noble St
Lyons, KS 67554-3026
Phone
(620) 257-5124
Fax
(620) 257-5128
NPI assigned
Jun 20, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-38839 KS Primary

Addresses

Primary practice location

1221 W Noble St
Lyons, KS 67554-3026

Mailing address

PO Box 828
Lyons, KS 67554-0828
Phone (620) 257-5173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170811000829 KS Practitioner - Family Practice 3577780956 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1221 W Noble St
Lyons Medical Center
Lyons, KS 67554-3026
Phone (620) 257-5124

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-38839KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital District No 1 of Rice Co CurrentSince Jul 5, 2017 Accepting new patients
Hospital District No 1 of Rice Co CurrentSince Jul 5, 2017 Accepting new patients
Medical Center, P.a. Past Accepting new patients
Rice County Hospital District No 2 Past Accepting new patients

Locations

1221 W Noble St
Lyons, KS 67554
Phone (620) 257-5124

619 S Clark Ave
Lyons, KS 67554
Phone (620) 257-5173

Interoperability endpoints

  • Direct secure messaging: roger.klein@khindirect.org

Organizations & group practices 4

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1689088379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 828",
            "city": "LYONS",
            "state": "KS",
            "postal_code": "675540828",
            "telephone_number": "620-257-5173",
            "fax_number": "620-257-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W NOBLE ST",
            "city": "LYONS",
            "state": "KS",
            "postal_code": "675543026",
            "telephone_number": "620-257-5124",
            "fax_number": "620-257-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "ROGER",
        "middle_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-38839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyons, KS

Sources for this page

Verify at the official NPI Registry.