Individual provider Active NPI

Simon Eli Santiago-Bedigrew, RD

  • Registered Dietitian
  • Topeka, KS
National Provider Identifier
1811863871
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
3464 Issued in KS
Practice address
5430 SW Lincolnshire Cir
Topeka, KS 66610-9663
Phone
(515) 735-6511
NPI assigned
Oct 15, 2025
Last updated
Aug 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 3464 KS Primary

Addresses

Primary practice location

5430 SW Lincolnshire Cir
Topeka, KS 66610-9663

Mailing address

5430 SW Lincolnshire Cir
Topeka, KS 66610-9663
Phone (515) 735-6511

Other identifiers 1

IdentifierTypeStateIssuer
30005380010001MedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251118002377 KS Practitioner - Registered Dietitian Or Nutrition Professional 1153812060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

901 SW Garfield Ave
Topeka, KS 66606-1670
Phone (785) 354-9591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3464KSMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Cotton-O'Neil Clinic Revocable Trust Multi-Specialty CurrentSince Nov 11, 2025 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust Multi-Specialty CurrentSince Nov 11, 2025 Accepting new patients

Locations

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

823 SW Mulvane St
Topeka, KS 66606

823 SW Mulvane St
#4
Topeka, KS 66606

901 SW Garfield Ave
Topeka, KS 66606

Organizations & group practices 2

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": "1760486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1811863871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 SW LINCOLNSHIRE CIR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666109663",
            "telephone_number": "515-735-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 SW LINCOLNSHIRE CIR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666109663",
            "telephone_number": "515-735-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO-BEDIGREW",
        "first_name": "SIMON",
        "middle_name": "ELI",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-15",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KS",
            "license": "3464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30005380010001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.