Individual provider Active NPI

Katelyn Marie Merando Falk, MD

  • Family Medicine Physician
  • Pittsburg, KS
National Provider Identifier
1992111710
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-39487 Issued in KS
Practice address
1 Mt Carmel Way
Pittsburg, KS 66762-7587
Phone
(620) 231-6100
Fax
(620) 231-7602
NPI assigned
Jul 2, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2014020085 MO
Family Medicine Physician 207Q00000X 04-39487 KS Primary

Addresses

Primary practice location

1 Mt Carmel Way
Pittsburg, KS 66762-7587

Mailing address

1 Mt. Carmel Way
Pittsburg, KS 66762-2539
Phone (620) 231-6100

Other practice location 1

6675 Holmes Rd Ste 360
Kansas City, MO 64131-1167
Phone (816) 276-4000

Other identifiers 2

IdentifierTypeStateIssuer
200692260AMedicaidOK
201149630AMedicaidKS

Other names 1

  • Ms. Katelyn Marie Merando Former name

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
I20170313001046 KS Practitioner - Family Practice 5890081079 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Pittsburg LLCGroup PAC ID 7618418088, 45 clinicians

Practice addresses (Care Compare)

1 Mt Carmel Way
Pittsburg, KS 66762-7587

1 Mt Carmel Way FL
Pittsburg, KS 66762-7587
Phone (620) 231-6100

2711 S Rouse St B
Mercy Clinic Pittsburg Pediatrics
Pittsburg, KS 66762-6621
Phone (620) 230-0044

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-39487KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Medical Laboratory, Inc Current Accepting new patients
Pathology Laboratory Associates, Inc. Current Accepting new patients
Ascension Via Christi Hospital Pittsburg, Inc. CurrentSince Feb 24, 2017 Accepting new patients
Mercy Clinic Pittsburg LLC CurrentSince Jul 23, 2024 Accepting new patients
Mercy Hospital Pittsburg Inc Past Accepting new patients

Locations

1 Mt Carmel Way
Pittsburg, KS 66762
Phone (620) 231-6100

2711 S Rouse St
Ste B
Pittsburg, KS 66762
Phone (620) 230-0044

Interoperability endpoints

  • Direct secure messaging: katelyn.falk@hca2.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992111710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MT. CARMEL WAY",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667622539",
            "telephone_number": "620-231-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MT CARMEL WAY",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667627587",
            "telephone_number": "620-231-6100",
            "fax_number": "620-231-7602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6675 Holmes Rd Ste 360",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641311167",
            "country_code": "US",
            "telephone_number": "816-276-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALK",
        "first_name": "KATELYN",
        "middle_name": "MARIE MERANDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2014020085",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-39487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200692260A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201149630A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "MERANDO",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsburg, KS

Sources for this page

Verify at the official NPI Registry.