Individual provider Active NPI

Roger G Peck, MD

  • Internal Medicine Physician
  • Manhattan, KS
National Provider Identifier
1972570331
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
04-20773 Issued in KS
Practice address
1325 Research Park Dr
Manhattan, KS 66502-5000
Phone
(785) 537-2651
Fax
(785) 270-4347
NPI assigned
Mar 3, 2006
Last updated
Dec 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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 04-20773 KS Primary

Addresses

Primary practice location

1325 Research Park Dr
Manhattan, KS 66502-5000

Mailing address

1325 Research Park Dr
Manhattan, KS 66502-5000
Phone (785) 537-2651

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rpeck18934@stormontvaildirect.org Direct COTTON O'NEIL CLINIC REVOCABLE TRUST
Direct Messaging Address rpeck18934@stormontvaildirect.org Direct STORMONT-VAIL HEALTHCARE INC

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
I20050523001129 KS Practitioner - Internal Medicine 7810939683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1325 Research Park Dr
Manhattan, KS 66502-5000
Phone (785) 270-8723

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-20773KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Aug 1, 2012 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust Internal Medicine CurrentSince Aug 1, 2012 Accepting new patients
Central Kansas Medical Center Past Accepting new patients
Medical Associates of Manhattan, PA Internal Medicine Past Accepting new patients

Locations

1133 College Ave
Ste E110
Manhattan, KS 66502
Phone (785) 537-2651

1325 Research Park Dr
Manhattan, KS 66502
Phone (785) 537-2651

1823 College Ave
Manhattan, KS 66502
Phone (785) 539-1704

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

901 SW Garfield Ave
Topeka, KS 66606

Interoperability endpoints

  • Direct secure messaging: rpeck18934@stormontvaildirect.org

Organizations & group practices 4

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1972570331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 RESEARCH PARK DR",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665025000",
            "telephone_number": "785-537-2651",
            "fax_number": "785-270-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 RESEARCH PARK DR",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665025000",
            "telephone_number": "785-537-2651",
            "fax_number": "785-270-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "ROGER",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-20773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rpeck18934@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": "1133 College Ave",
            "address_2": "Suite E110",
            "city": "Manhattan",
            "state": "KS",
            "country_code": "US",
            "postal_code": "665022770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rpeck18934@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": "1133 College Ave",
            "address_2": "Suite E110",
            "city": "Manhattan",
            "state": "KS",
            "country_code": "US",
            "postal_code": "665022770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.