Austin Cook, MD
Individual provider Active NPI Pediatrics Physician · Wichita, KS
NPI 1992436323 · NPPES record last updated Jun 17, 2022
Key facts
- NPI
- 1992436323
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 94-11054 (KS)
- Practice address
- 1010 N Kansas St
Wichita, KS 67214-3124 - Phone
- (316) 293-2665
- NPI assigned
- Jun 17, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3030 NW Expressway
Suite 1000
Oklahoma City, OK 73112-5468
4508 W 12TH St N
Wichita, KS 67212-1806
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220719001093 | KS | Order and Referring Only - Pediatric Medicine |
3173904315 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94-11054 | KS | MD | Pediatrics Physician |
Interoperability endpoints
- austin.cook@hca3.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 94-11054 | KS | |
| Pediatrics Physician | 208000000X | 94-11054 | KS | Yes |
Addresses
Primary practice location
1010 N Kansas St
Wichita, KS 67214-3124
Mailing address
1010 N Kansas St
Wichita, KS 67214-3124
Phone (316) 293-2665
Other providers in Wichita, KS
- Consumer Directed Services Inc.
- Consumer'S Pharmacy Inc
- Anais Contreras
- Molly Conyers
- Cook Rehabilitation Medicine LLC
- Dennis J Cook
- Elizabeth Ann Cook
- Frances B Cook
- Jude Cook
- Kristen Cook
All providers in Wichita, KS · Pediatrics Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.