PEDIATRIC ASSOCIATES OF MANHATTAN, P. A.
NPI 1093802456
Pediatrics - Adolescent Medicine in Manhattan, KS

Active since October 06, 2006CLIA 17D0956676 · Waiver
1133 COLLEGE AVE, SUITE G-210, MANHATTAN, KS 66502(785) 537-9030(785) 537-3334 Get Directions Write a Review

NPPES record last updated: March 18, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Associates Of Manhattan, P. A. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC ASSOCIATES OF MANHATTAN, P. A. (NPI 1093802456) is a healthcare organization registered as an adolescent medicine in Manhattan, Kansas and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through February 1, 2027 and lists Dorothy Ann Truitt, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1093802456
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NamePEDIATRIC ASSOCIATES OF MANHATTAN, P. A.
Location Address1133 COLLEGE AVE, SUITE G-210Manhattan, KS 66502-2770
Mailing Address1133 College Ave, Suite G-210Manhattan, KS 66502-2770 · (785) 537-9030 · Fax (785) 537-3334
Fax(785) 537-3334
Organization SubpartNo
Authorized OfficialDorothy Ann TruittOffice Manager · (785) 537-9030
Enumeration DateOctober 6, 2006
Last NPPES UpdateMarch 18, 2014
NPI 1093802456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
1133 COLLEGE AVE, Manhattan, KS 66502

Other Identifiers 2

Medicaid100087970AKS
Other0000003920KS · Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D0956676

Pediatric Associates Of Manhattan PA · Manhattan, KS
Active · expires Feb 1, 2027
CLIA Number17D0956676
Laboratory TypePhysician Office
Certificate Effective DateFebruary 2, 2025
Certificate Expiration DateFebruary 1, 2027
Laboratory DirectorJason R. Gallagher
Laboratory Phone(785) 537-9030
Laboratory LocationPediatric Associates Of Manhattan PA1133 College Avenue Ste G-210, Manhattan, KS 66502
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Primary Care)
1133 COLLEGE AVE, SUITE D200
MANHATTAN, KS 66502
Surgery
1133 COLLEGE AVE, BLDG E-220
MANHATTAN, KS 66502
Nurse Practitioner (Obstetrics & Gynecology)
1133 COLLEGE AVE, BLDG. E-210
MANHATTAN, KS 66502
Dentist (General Practice)
1133 COLLEGE AVE, BUILDING D, SUITE 202
MANHATTAN, KS 66502
Audiologist
1133 COLLEGE AVE, SUITE 101A
MANHATTAN, KS 66502
Urology
1133 COLLEGE AVE, C200
MANHATTAN, KS 66502
Internal Medicine
1133 COLLEGE AVE, SUITE C-143
MANHATTAN, KS 66502
Clinic/Center (Oral and Maxillofacial Surgery)
1133 COLLEGE AVE, C200
MANHATTAN, KS 66502

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Associates Of Manhattan, P. A.'s NPI number?

The NPI number for Pediatric Associates Of Manhattan, P. A. is 1093802456. It was assigned to this organization in the NPPES registry on October 6, 2006.

Where is Pediatric Associates Of Manhattan, P. A. located?

Pediatric Associates Of Manhattan, P. A. is located at 1133 College Ave Suite G-210, Manhattan, KS 66502. The listed phone number is (785) 537-9030.

What is Pediatric Associates Of Manhattan, P. A.'s specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Pediatric Associates Of Manhattan, P. A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D0956676) is associated with this NPI, valid through February 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pediatric Associates Of Manhattan, P. A. accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Pediatric Associates Of Manhattan, P. A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Associates Of Manhattan, P. A. was last updated on March 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.