Individual provider Active NPI

Mauricio Castro Herrera, M.D.

  • Family Medicine Physician
  • Arkansas City, KS
National Provider Identifier
1982916565
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27224 Issued in OK
Practice address
510 W Radio LN
Arkansas City, KS 67005-4011
Phone
(620) 442-2100
NPI assigned
Jul 12, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 27224 OK Primary

Addresses

Primary practice location

510 W Radio LN
Arkansas City, KS 67005-4011

Mailing address

405 N C St
Arkansas City, KS 67005-2107
Phone (940) 766-0647

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
I20101012000460 KS Practitioner - Family Practice 5395937148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Central Kansas Regional Medical CenterGroup PAC ID 1456245802, shared by 5 NPIs, 18 clinicians

Practice addresses (Care Compare)

6401 Patterson Pkwy
Arkansas City, KS 67005-5701
Phone (620) 441-5798

6403 Patterson Pkwy
Arkansas City, KS 67005-5701
Phone (620) 442-2500

Hospital & facility affiliations

  • Angels Care Home Health Home health agency, Chanute, KS, CCN 178060
  • SCK Health Hospital, Arkansas City, KS, CCN 170779
  • William Newton Hospital Hospital, Winfield, KS, CCN 171383

Merit-based Incentive Payment System (MIPS)

Final score
76.62 of 100Reported as group
Quality
69.57
Improvement activities
40
Cost
77.86

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Kansas Regional Medical Center Current Accepting new patients
South Central Kansas Regional Medical Center Family Medicine Past Accepting new patients

Locations

6403 Patterson Pkwy
Arkansas City, KS 67005
Phone (620) 442-2500

6401 Patterson Pkwy
Arkansas City, KS 67005
Phone (620) 441-5798

Interoperability endpoints

  • Direct secure messaging: mauricio.herrera.1@9667.direct.athenahealth.com

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.

Hospital & facility affiliations 3

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": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1982916565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N C ST",
            "city": "ARKANSAS CITY",
            "state": "KS",
            "postal_code": "670052107",
            "telephone_number": "940-766-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W RADIO LN",
            "city": "ARKANSAS CITY",
            "state": "KS",
            "postal_code": "670054011",
            "telephone_number": "620-442-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "MAURICIO CASTRO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-12",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "27224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arkansas City, KS

Sources for this page

Verify at the official NPI Registry.