Look up the most recent NPI and PECOS records

Ethan Morgan

Hospitalist

Allopathic & Osteopathic Physicians

4000 Cambridge St, Kansas City, KS 66160-1305

PECOS Enrollment

Based on the most recent information from CMS, provider Ethan Morgan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1114504206
Provider Type
Individual
Full Name
Morgan, Ethan
Credential
DO

Gender
Male
Sole Proprietor
No
Enumeration Date
3/25/2021
Last Updated
5/29/2025

Contact Information

Practice Location

4000 Cambridge St, Kansas City, KS 66160-1305

(913) 588-1227

Unlisted Fax

Mailing Location

PO Box 735044, Chicago, IL 60673-5044

(800) 326-2250

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208M00000X Primary	Description Hospitalist Allopathic & Osteopathic Physicians	License 05-50931 Kansas
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 81481-21 Wisconsin

Provider Identifiers

ID	Description	Issuer
ID 100275029	Description Medicaid	Issuer Unlisted Wisconsin

Ethan Morgan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Greve, Lacey Kay

Mcmahon, Morgan Elizabeth

Poddutoori, Padma

Marcotte, Kyle Steven

Byers, Aaron Nelson

Bailuc, Stefania Loredana

Warwick, Sophia M

Phyu Phyu Aung, Thin

Ahmad, Zeeshan

Opole, Isaac O