CONRADO M. AGUSTIN, JR. M.D. – NPI #1558454686
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CONRADO AGUSTIN, JR. is a physician located in WICHITA, KS. NPPES has assigned the NPI number 1558454686 to CONRADO AGUSTIN, JR. on October 02, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 4 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 2 years ago on Jan 18, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CONRADO AGUSTIN, JR. below.

NPI Profile for
CONRADO M. AGUSTIN, JR.

NPI Number
1558454686
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CONRADO M. AGUSTIN, JR.
Credentials
M.D.
Primary location
527 N GROVE ST
WICHITA, KS 67214-4520
Phone: (316) 262-2415 Fax: (316) 264-4734
4 Other location(s):
2318 E Central Ave
Wichita, KS 67214-4436
Phone: (316) 262-2415
Fax: (316) 262-2415
2750 S Roosevelt St
Wichita, KS 67210-1304
Phone: (316) 652-0152
Fax: (316) 652-0928
402 E 2nd St N
Wichita, KS 67202-2504
Phone: (316) 262-2414
Fax: (316) 264-4734
935 N Market St
Wichita, KS 67214-3521
Phone: (316) 858-1151
Fax: (316) 858-1152
Mailing address
2318 E CENTRAL AVE
WICHITA, KS 67214-4436
Phone: (316) 262-2415 Fax: (316) 262-0318
Sole Proprietor
No
Updated
Certification Date
Jan 18, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CONRADO AGUSTIN, JR.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidKS30004493060004
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
KS 04-30665

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
FACILITY
Content Type
OTHER
Affiliation
N
Endpoint Location
2318 E CENTRAL AVE,
WICHITA, KS 77025-1669

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.