Individual provider Active NPI

Win M Kyi, MD

  • Surgery Physician
  • Dodge City, KS
National Provider Identifier
1720152952
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0420643 Issued in KS
Practice address
100 Ross Blvd
Ste 2a
Dodge City, KS 67801
Phone
(620) 227-3141
Fax
(620) 227-8095
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0420643 KS
Surgery Physician 208600000X 0420643 KS Primary

Addresses

Primary practice location

100 Ross Blvd
Ste 2a
Dodge City, KS 67801

Mailing address

100 W Ross Blvd Ste 2a
Dodge City, KS 67801-7217
Phone (620) 227-3141

Other identifiers 1

IdentifierTypeStateIssuer
10014840AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050512000824 KS Practitioner - General SurgeryPractitioner - General PracticePractitioner - Family Practice 9133160880 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0420643KSMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Minneola District Hospital NBR 2 Family Medicine CurrentSince Aug 1, 2022 Accepting new patients
Minneola District Hospital NBR 2 CurrentSince Aug 1, 2022 Accepting new patients
Minneola District Hospital NBR 2 Current Accepting new patients

Locations

222 Main St
#97
Minneola, KS 67865
Phone (316) 885-4202

Interoperability endpoints

  • Direct secure messaging: win.kyi@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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1720152952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W ROSS BLVD STE 2A",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678017217",
            "telephone_number": "620-227-3141",
            "fax_number": "620-227-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ROSS BLVD",
            "address_2": "STE 2A",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "67801",
            "telephone_number": "620-227-3141",
            "fax_number": "620-227-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYI",
        "first_name": "WIN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0420643",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "0420643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10014840A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodge City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.