Individual provider Active NPI

Virgilio M. Taduran, M.D.

  • Family Medicine Physician
  • Satanta, KS
National Provider Identifier
1801849542
Registry record updated Jul 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-17676 Issued in KS
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2011

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 04-17676 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

IdentifierTypeStateIssuer
41716OtherKSBLUE CROSS-HOSPITAL
04-17676OtherKSSTATE LICENSE #
41397OtherKSBLUE SHIELD-SATANTA
100139460BMedicaidKS

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-17676KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Jan 1, 2014 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.

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

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.

Verify at the official NPI Registry.