Active NPI
Win M Kyi, MD
- Surgery Physician
- Dodge City, KS
National Provider Identifier
1720152952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0420643
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10014840A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0420643 | KS | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minneola District Hospital NBR 2 | Family Medicine | Current | Accepting new patients |
| Minneola District Hospital NBR 2 | Current | 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
- 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.
-
- Critical Access Hospital
- Minneola, KS
- NPI 1013009828
-
dba Dodge City Family Care Clinic
- Rural Health Clinic/Center
- Dodge City, KS
- NPI 1376625749
Family Medicine
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.