DR. CONRADO M JR. AGUSTIN (M.D.) – Pediatrics Physician, NPI 1558454686
Pediatrics Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. CONRADO M JR. AGUSTIN (M.D.)
2318 E CENTRAL AVE
WICHITA, KS 672144436
Phone: (316) 262-2415
Fax: (316) 262-0318
Type: Mailing
2750 S Roosevelt St
Wichita, KS 672101304
Phone: (316) 652-0152
Fax: (316) 652-0928
Type: Location
402 E 2nd St N
Wichita, KS 672022504
Phone: (316) 262-2414
Fax: (316) 264-4734
Type: Location
2318 E Central Ave
Wichita, KS 672144436
Phone: (316) 262-2415
Fax: (316) 262-2415
Type: Location
935 N Market St
Wichita, KS 672143521
Phone: (316) 858-1151
Fax: (316) 858-1152
Type: Location
527 N GROVE ST
WICHITA, KS 672144520
Phone: (316) 262-2415
Fax: (316) 264-4734
Type: Location
162, North Hillside Street, Wichita, Sedgwick County, Kansas, 67214, United States
WICHITA, KS 672144919
Phone: (316) 685-5326
Fax: (316) 685-3017
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $37.
Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.
Last reported payment date: 2024-04-15 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($22).
Total Amount
$37
General + Research + Ownership
Payments
2
Total payment records
General Amount
$37
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $22 |
| Cranial Technologies, Inc | $15 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-04-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160414000795 | I | Pediatric Medicine | KS | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 67214)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CO | |
| Physician Assistant | KS | |
| Nurse Practitioner | KS | |
| Physician Assistant | KS | |
| Nurse Practitioner | KS | |
| Physician Assistant | KS | |
| Clinical Social Worker | KS | |
| Physician Assistant | KS | |
| Nurse Practitioner | KS | |
| Family Practice | KS |
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