Individual provider Active NPI

J B Astik, MD

  • Internal Medicine Physician
  • Warrensburg, MO
National Provider Identifier
1912901299
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R8D56 Issued in MO
Practice address
511 Burkarth Rd
Warrensburg, MO 64093-3103
Phone
(660) 747-8154
Fax
(660) 747-9757
NPI assigned
Jun 2, 2005
Last updated
Nov 17, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R8D56 MO Primary

Addresses

Primary practice location

511 Burkarth Rd
Warrensburg, MO 64093-3103

Mailing address

511 Burkarth Rd
Warrensburg, MO 64093-3103
Phone (660) 747-8154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101202000145 MO Practitioner - Internal Medicine 1456547496 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Western Missouri Medical Center CurrentSince Jan 11, 2020 Accepting new patients
Western Missouri Medical Center CurrentSince Jan 11, 2020 Accepting new patients

Locations

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

511 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 747-8154

514 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 429-2128

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": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1912901299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 BURKARTH RD",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640933103",
            "telephone_number": "660-747-8154",
            "fax_number": "660-747-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 BURKARTH RD",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640933103",
            "telephone_number": "660-747-8154",
            "fax_number": "660-747-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASTIK",
        "first_name": "J",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R8D56",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensburg, MO

Sources for this page

Verify at the official NPI Registry.