Active NPI
Virgilio M. Taduran, M.D.
- Family Medicine Physician
- Satanta, KS
National Provider Identifier
1801849542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 04-17676
- Practice address
- 410 Cheyenne Street
Satanta, KS 67870-0009 - Phone
- (620) 649-2771
- Fax
- (620) 649-2538
- NPI assigned
- May 17, 2006
- Last updated
- Jul 8, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 04-17676 | KS | Primary |
Addresses
Primary practice location
410 Cheyenne Street
Satanta, KS 67870-0009
Mailing address
PO Box 9
Satanta, KS 67870-0009
Phone (620) 649-2771
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41716 | Other | KS | BLUE CROSS-HOSPITAL |
| 04-17676 | Other | KS | STATE LICENSE # |
| 41397 | Other | KS | BLUE SHIELD-SATANTA |
| 100139460B | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-17676 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taduran Sports Medicine and Osteopathic Wellness Center | Past | Accepting new patients | |
| Satanta District Hospital and Long-Term Care | Family Medicine | Past | Accepting new patients |
| Southwest Family Medicine LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Satanta District Hospital Clinic-Satanta
- Rural Health Clinic/Center
- Satanta, KS
- NPI 1316999246
Family Medicine
-
- Internal Medicine Physician
- Liberal, KS
- NPI 1841621679
-
- Medical Specialty Clinic/Center
- Liberal, KS
- NPI 1134443237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310083200000",
"number": "1801849542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9",
"city": "SATANTA",
"state": "KS",
"postal_code": "678700009",
"telephone_number": "620-649-2771",
"fax_number": "620-649-2538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 CHEYENNE STREET",
"city": "SATANTA",
"state": "KS",
"postal_code": "678700009",
"telephone_number": "620-649-2771",
"fax_number": "620-649-2538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TADURAN",
"first_name": "VIRGILIO",
"middle_name": "M.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2011-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "04-17676",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-HOSPITAL",
"identifier": "41716",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE #",
"identifier": "04-17676",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD-SATANTA",
"identifier": "41397",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100139460B",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Satanta, KS
- Satanta District Hospital and Long-Term Care (Satanta Retail Pharmacy)
- Satanta District Hospital and Long-Term Care (Satanta District Hospital)
- Satanta District Hospital and Long-Term Care (Satanta Long Term Care)
- Satanta District Hospital and Long-Term Care (Satanta District Hospital - Swingbed)
- Kimberly R. Skinner, DPT
- Unified School District No. 507
- Robin R Unruh, LMSW
- Makayla Michelle Walker
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.