NPIMap

Organization Active NPI

Topeka Physician Group, LLC

Doing business as The University of Kansas Physicians Topeka

  • Rural Health Clinic/Center
  • Valley Falls, KS
National Provider Identifier
1902395262
Registry record updated Sep 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
TOPEKA PHYSICIAN GROUP, LLC
Doing business as
The University of Kansas Physicians Topeka
Practice address
403 Sycamore St
Valley Falls, KS 66088
Phone
(785) 945-3263
Fax
(785) 945-3902
NPI assigned
May 2, 2018
Last updated
Sep 13, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
TOPEKA HEALTH SYSTEM, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 13, 2019

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

Authorized official

Name
Stephen C. Petrovich
Title
Evp
Phone
(615) 296-3000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

403 Sycamore St
Valley Falls, KS 66088

Mailing address

1 Burton Hills Blvd Ste 250
Nashville, TN 37215-6195
Phone (615) 296-3000

Other names 1

  • The University of Kansas Physicians Topeka Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20171107002163 KS Part B Supplier - Clinic/Group Practice 6406112473 Receives reassigned benefits from 240 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Valley Falls, KS; Topeka, KS; Sabetha, KS; Junction City, KS
O20180815002536 KS Part A Provider - Rural Health Clinic 6406112473 Practice locations: Valley Falls, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902395262. Details of each certification follow.

Rural health clinic certification: CCN 703809

Legal name
TOPEKA PHYSICIAN GROUP LLC
Doing business as
THE UNIVERSITY OF KANSAS PHYSICIANS TOPEKA
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 11, 2019
Last certification
Feb 25, 2025
Ownership / control type
1B
Organization structure
LLCProprietary
Enrollment address
403 Sycamore St
Valley Falls, KS 66088-1318

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
The Univ of Kansas Physicians Topeka2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1700 SW 7th St
Fl 2
Topeka, KS 66606
Phone (785) 295-7800

2200 SW 6th Ave
Topeka, KS 66606
Phone (785) 295-0956

3310 SE 29th St
Ste 300
Topeka, KS 66605
Phone (785) 270-7444

4646 NW Fielding Rd
Topeka, KS 66618
Phone (785) 246-3733

600 SW Jewell Ave
Topeka, KS 66606
Phone (785) 270-5310

601 SW Corporate Vw
Ste 100
Topeka, KS 66615
Phone (785) 272-2240

634 SW Mulvane St
Ste 200
Topeka, KS 66606
Phone (785) 272-2240

634 SW Mulvane St
Ste 404
Topeka, KS 66606
Phone (785) 295-8045

403 Sycamore St
Valley Falls, KS 66088
Phone (785) 865-7512

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ardent Health Inc Organization, Brentwood, TN Corporation 5% Or Greater Indirect Ownership Interest Jul 1, 2025 100%
Martin Bonick Individual Corporate OfficerCeo-Chain Office Aug 19, 2020
Joseph Alan Deschryver Individual W-2 Managing EmployeeAd; Jul 1, 2025 100%
Mary a Crabtree Individual Corporate Officer Nov 1, 2017
Corporate Director Nov 1, 2017
Topeka Health System LLC Organization, Nashville, TN LLC 5% Or Greater Indirect Ownership Interest Nov 1, 2017 75%
Topeka Hospital, LLC Organization, Nashville, TN LLC 5% Or Greater Direct Ownership Interest Nov 1, 2017 100%
Ahs Kansas Health System Inc. Organization, Nashville, TN Corporation Operational/Managerial Control Nov 1, 2017 100%
Ahs Management Company Inc. Organization, Nashville, TN Corporation Operational/Managerial Control Nov 1, 2017
Stephen C Petrovich Individual Corporate OfficerEvp General Counsel Nov 1, 2017
Ardent Legacy Holdings LLC Organization, Nashville, TN LLC 5% Or Greater Indirect Ownership Interest Nov 1, 2017 100%
University of Kansas Hospital Authority Organization, Kansas City, KS Corporation 5% Or Greater Indirect Ownership Interest Nov 1, 2017 25%
Ahp Health Partners, Inc Organization, Nashville, TN Corporation 5% Or Greater Indirect Ownership Interest Nov 1, 2017 100%

Owners & managing parties with NPI records 13

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 13

Facilities with the same owner 84

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 84

Practitioners & affiliated clinicians

Practitioners 244

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 244

NPI Registry JSON

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568332800000",
    "number": "1902395262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BURTON HILLS BLVD STE 250",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156195",
            "telephone_number": "615-296-3000",
            "fax_number": "615-296-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 SYCAMORE ST",
            "city": "VALLEY FALLS",
            "state": "KS",
            "postal_code": "66088",
            "telephone_number": "785-945-3263",
            "fax_number": "785-945-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOPEKA PHYSICIAN GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOPEKA HEALTH SYSTEM, LLC",
        "enumeration_date": "2018-05-02",
        "last_updated": "2019-09-13",
        "status": "A",
        "authorized_official_last_name": "PETROVICH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "615-296-3000"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The University of Kansas Physicians Topeka",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valley Falls, KS

Sources for this page

Verify at the official NPI Registry.