J B Astik, MD
Individual provider Active NPI Internal Medicine Physician · Warrensburg, MO
NPI 1912901299 · NPPES record last updated Nov 17, 2010
Key facts
- NPI
- 1912901299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- R8D56 (MO)
- Practice address
- 511 Burkarth Rd
Warrensburg, MO 64093-3103 - Phone
- (660) 747-8154
- Fax
- (660) 747-9757
- NPI assigned
- Jun 2, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101202000145 | MO | Practitioner - Internal Medicine | 1456547496 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R8D56 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Missouri Medical Center | Current |
Accepting new patients | |
| Western Missouri Medical Center | Current |
Accepting new patients |
Locations
514 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 429-2128
403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500
511 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 747-8154
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | R8D56 | MO | Yes |
Addresses
Primary practice location
511 Burkarth Rd
Warrensburg, MO 64093-3103
Mailing address
511 Burkarth Rd
Warrensburg, MO 64093-3103
Phone (660) 747-8154
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110221404 | Other | RR MEDICARE | |
| 202222543 | Medicaid | MO |
Other providers in Warrensburg, MO
- Kristin Antony
- Christopher J. Armbruster
- Harlee Jo Arnold
- Jason D Asher
- Muhammad Asif
- Natalie M. Avery
- Kristie Diane Banks
- Nichole Catherine Bargfrede
- Dustan Barnett
- Bethany Barrett
All providers in Warrensburg, MO · Internal Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.