Wichita Nephrology Group PA
A Medicare group practice based in Wichita, KS: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3375596174), with 14 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 3375596174
- Provider type
- Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice
- Enrolled in
- KS
- Enrollments
- 2
- Group size
- 12 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 29
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20050221000714 | KS | Part B Supplier - Clinic/Group Practice | 1104877810 |
| O20200220000836 | KS | Part B Supplier - Ambulatory Surgical Center | 1396238010 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Wichita Nephrology Group, PA
- Nephrology Physician
- Wichita, KS
- NPI 1104877810
-
Wichita Nephrology Group, PA
dba ReVask Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Wichita, KS
- NPI 1396238010
Practice locations
- Wichita, KS13
- Winfield, KS3
- Garden City, KS2
- Great Bend, KS2
- Newton, KS1
- Hutchinson, KS1
- Maiza, KS1
- Coffeyville, KS1
- Derby, KS1
- Eldorado, KS1
- Dodge City, KS1
- Parsons, KS1
- Pratt, KS1
Clinicians 14
Clinicians who reassign their Medicare benefits to this group (14) or whom Care Compare lists as members (12).
-
Shawna L Abendroth, PA
- Medical Physician Assistant
- Wichita, KS
- NPI 1932113560
-
Carolyn A Bland, PA
- Medical Physician Assistant
- Wichita, KS
- NPI 1679616478
-
Ushasri Challa, M.D.
- Nephrology Physician
- Wichita, KS
- NPI 1992756563
-
Michael Edward Grant, M.D.
- Nephrology Physician
- Wichita, KS
- NPI 1316990781
-
Joseph Meouchy, MD
- Nephrology Physician
- Wichita, KS
- NPI 1922396894
-
Jany Khairallah Moussa, M.D.
- Nephrology Physician
- Wichita, KS
- NPI 1861443459
-
Ronnie K Moussa, MD
- Internal Medicine Physician
- Wichita, KS
- NPI 1437316387
-
Erica L Roach, APRN
- Adult Health Nurse Practitioner
- Wichita, KS
- NPI 1386282655
-
Wissam Saliba, MD
- Internal Medicine Physician
- Wichita, KS
- NPI 1104025949
-
Mohamad S Sandid, M.D.
- Nephrology Physician
- Wichita, KS
- NPI 1992778518
-
Levi Curtis Short, MD
- Nephrology Physician
- Wichita, KS
- NPI 1790198448
-
Tracy D Smith, APRN
- Family Nurse Practitioner
- Wichita, KS
- NPI 1053727800
-
Amanda M Valliant, MD
- Nephrology Physician
- Wichita, KS
- NPI 1609004316
-
Edgard Ibrahim Wehbe, MD
- Nephrology Physician
- Wichita, KS
- NPI 1851513287
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.