Individual provider Active NPI

William T Unsderfer, MD

  • Pediatrics Physician
  • Salina, KS
National Provider Identifier
1942300173
Registry record updated May 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
04-24091 Issued in KS
Practice address
501 S Santa Fe Ave
Suite 100
Salina, KS 67401-4189
Phone
(785) 825-2273
Fax
(785) 825-2275
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 04-24091 KS Primary

Addresses

Primary practice location

501 S Santa Fe Ave
Suite 100
Salina, KS 67401-4189

Mailing address

501 S Santa Fe Ave
Suite 100
Salina, KS 67401-4189
Phone (785) 452-7269

Other identifiers 1

IdentifierTypeStateIssuer
100138740BMedicaidKS

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
I20050405000212 KS Practitioner - Pediatric Medicine 1254388085 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Salina Regional Health Center, Inc. Pediatrics CurrentSince Nov 12, 2016 Accepting new patients
Salina Regional Health Center Inc CurrentSince Nov 12, 2016 Accepting new patients
Salina Regional Health Center, Inc Current Accepting new patients
Comcare, P.a Past Accepting new patients
Salina Regional Health Center, Inc Past Accepting new patients

Locations

400 S Santa Fe Ave
Salina, KS 67401
Phone (785) 452-6019

501 S Santa Fe Ave
Ste 100
Salina, KS 67401
Phone (785) 827-9631

Interoperability endpoints

  • Direct secure messaging: william.unsderfer@srhcdirect.com
  • Direct secure messaging: william.unsderfer@khindirect.org

Organizations & group practices 5

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432512000000",
    "number": "1942300173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S SANTA FE AVE",
            "address_2": "SUITE 100",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014189",
            "telephone_number": "785-452-7269",
            "fax_number": "785-452-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S SANTA FE AVE",
            "address_2": "SUITE 100",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014189",
            "telephone_number": "785-825-2273",
            "fax_number": "785-825-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNSDERFER",
        "first_name": "WILLIAM",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2015-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "04-24091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100138740B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.