Active NPI
Ferdinand G Pampolina, MD
- Internal Medicine Physician
- Topeka, KS
National Provider Identifier
1912909052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 04-39409
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5968832 | Other | CIGNA | |
| 1427729 | Other | AETNA | |
| 068002419 | Other | KS | MEDICARE PTAN |
| 1844371 | Other | UNITED HEALTH CARE | |
| 35360031 | Other | BCBS | |
| 1912909052 | Other | TRICARE | |
| 1912909052 | Other | COVENTRY |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-39409 | KS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cotton-O'Neil Clinic Revocable Trust | Current | Accepting new patients | |
| Cotton-O'Neil Clinic Revocable Trust | Internal Medicine | Current | 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
- 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.
-
- Internal Medicine Physician
- Topeka, KS
- NPI 1811944457
-
- Durable Medical Equipment & Medical Supplies
- Topeka, KS
- NPI 1700076015
-
- Internal Medicine Physician
- Springfield, TN
- NPI 1356561856
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.