NPIMap

Organization Active NPI

Manhattan Surgical Hospital LLC

Doing business as Blue River Family Medicine

  • Family Medicine Physician
  • Manhattan, KS
National Provider Identifier
1912495896
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H075004 Issued in KS
Legal business name
MANHATTAN SURGICAL HOSPITAL LLC
Doing business as
Blue River Family Medicine
Practice address
8301 Positano Dr
Manhattan, KS 66502-4861
Phone
(785) 587-0570
Fax
(785) 587-0558
NPI assigned
Apr 26, 2018
Organization subpart
Yes
Parent organization
MANHATTAN SURGICAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Authorized official

Name
Melissa Westcott
Title
Ceo
Phone
(785) 776-2584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X H075004 KS Primary

Addresses

Primary practice location

8301 Positano Dr
Manhattan, KS 66502-4861

Mailing address

1829 College Ave
Manhattan, KS 66502-3381
Phone (785) 776-5100

Other names 1

  • Blue River Family Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180813000794 KS Part B Supplier - Clinic/Group Practice 4981516739 Receives reassigned benefits from 2 practitioners
Practice locations: Manhattan, KS

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Part of
Manhattan Surgical Hospital LLC

Member of 1

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

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/manhatt-5cc5411b

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1912495896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 COLLEGE AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665023381",
            "telephone_number": "785-776-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 POSITANO DR",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665024861",
            "telephone_number": "785-587-0570",
            "fax_number": "785-587-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN SURGICAL HOSPITAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MANHATTAN SURGICAL HOSPITAL",
        "enumeration_date": "2018-04-26",
        "last_updated": "2023-08-17",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "WESTCOTT",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-776-2584"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "H075004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue River Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blue River Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.