Individual provider Active NPI

Alfredo T Iloreta, MD

  • Urology Physician
  • Topeka, KS
National Provider Identifier
1790751576
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0418611 Issued in KS
Practice address
1516 SW 6TH Ave
Ste 1
Topeka, KS 66606-2729
Phone
(785) 232-1005
Fax
(785) 232-2564
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 0418611 KS Primary

Addresses

Primary practice location

1516 SW 6TH Ave
Ste 1
Topeka, KS 66606-2729

Mailing address

PO Box 1657
Topeka, KS 66601-1657
Phone (785) 295-8108

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
I20050408000875 KS Practitioner - Urology 4183661465 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0418611KSMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Topeka Physician Group, LLC CurrentSince Nov 1, 2017 Accepting new patients
Topeka Physician Group, LLC CurrentSince Nov 1, 2017 Accepting new patients
St. Francis Physician Clinics Inc. Urology Past Accepting new patients

Locations

634 SW Mulvane St
Topeka, KS 66606
Phone (785) 292-8385

1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310

1516 SW 6th Ave
Ste 1
Topeka, KS 66606
Phone (785) 232-1005

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1790751576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1657",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666011657",
            "telephone_number": "785-295-8108",
            "fax_number": "785-231-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 SW 6TH AVE",
            "address_2": "STE 1",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062729",
            "telephone_number": "785-232-1005",
            "fax_number": "785-232-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILORETA",
        "first_name": "ALFREDO",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "KS",
            "license": "0418611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.