Individual provider Active NPI

Kevin P Allen, MD

  • Ophthalmology Physician
  • Newton, KS
National Provider Identifier
1801901780
Registry record updated Jan 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
04-33342 Issued in KS
Practice address
700 Medical Center Dr
Suite 110
Newton, KS 67114-9013
Phone
(316) 283-0113
Fax
(316) 283-6401
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 200300114 NC
Ophthalmology Physician 207W00000X 04-33342 KS Primary

Addresses

Primary practice location

700 Medical Center Dr
Suite 110
Newton, KS 67114-9013

Mailing address

700 Medical Center Dr
Suite 110
Newton, KS 67114-9013
Phone (316) 283-0113

Other identifiers 2

IdentifierTypeStateIssuer
200590310CMedicaidKS
1801901780OtherKSMEDICARE

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-33342KSMDOphthalmology Physician
200300114NCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah Anne Silberman MD PC Ophthalmology PastSince Sep 1, 1997 Accepting new patients
Allen Physicians LLC PastSince Mar 1, 2011 Accepting new patients
Allen Eye Associates Inc Ophthalmology PastSince May 12, 2003 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452211200000",
    "number": "1801901780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MEDICAL CENTER DR",
            "address_2": "SUITE 110",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671149013",
            "telephone_number": "316-283-0113",
            "fax_number": "316-283-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MEDICAL CENTER DR",
            "address_2": "SUITE 110",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671149013",
            "telephone_number": "316-283-0113",
            "fax_number": "316-283-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "KEVIN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2016-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "200300114",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "04-33342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200590310C",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1801901780",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; 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.