Individual provider Active NPI

Ferdinand G Pampolina, MD

  • Internal Medicine Physician
  • Topeka, KS
National Provider Identifier
1912909052
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
04-39409 Issued in KS
Practice address
901 SW Garfield Ave
Topeka, KS 66606-1670
Phone
(785) 354-9591
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 04-39409 KS Primary
Internal Medicine Physician 207R00000X 2005013269 MO

Addresses

Primary practice location

901 SW Garfield Ave
Topeka, KS 66606-1670

Mailing address

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

Other identifiers 7

IdentifierTypeStateIssuer
5968832OtherCIGNA
1427729OtherAETNA
068002419OtherKSMEDICARE PTAN
1844371OtherUNITED HEALTH CARE
35360031OtherBCBS
1912909052OtherTRICARE
1912909052OtherCOVENTRY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address fpampolina42047@stormontvaildirect.org Direct STORMONT-VAIL HEALTHCARE INC
Direct Messaging Address fpampolina42047@stormontvaildirect.org Direct COTTON O'NEIL CLINIC REVOCABLE TRUST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20161007001491 KS Practitioner - Internal Medicine 9830105220 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-39409KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Oct 17, 2016 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust Internal Medicine CurrentSince Oct 17, 2016 Accepting new patients
Northcrest Physician Services Inc Internal Medicine Past Accepting new patients

Locations

909 SW Mulvane St
Topeka, KS 66606
Phone (785) 357-0301

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

901 SW Garfield Ave
Topeka, KS 66606

Interoperability endpoints

  • Direct secure messaging: fpampolina42047@stormontvaildirect.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1912909052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SW GARFIELD AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061670",
            "telephone_number": "785-354-9591",
            "fax_number": "785-368-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SW GARFIELD AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061670",
            "telephone_number": "785-354-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAMPOLINA",
        "first_name": "FERDINAND",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-39409",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2005013269",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5968832",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1427729",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "068002419",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1844371",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "35360031",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1912909052",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "1912909052",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fpampolina42047@stormontvaildirect.org",
            "affiliation": "Y",
            "endpointDescription": "SVH Secure messaging",
            "affiliationName": "STORMONT-VAIL HEALTHCARE INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "901 SW Garfield Ave",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666061670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fpampolina42047@stormontvaildirect.org",
            "affiliation": "Y",
            "endpointDescription": "SVH Secure messaging",
            "affiliationName": "COTTON O'NEIL CLINIC REVOCABLE TRUST",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "901 SW Garfield Ave",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666061670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.