Active NPI
Ahmad Qaddour, M.D.
- Cardiovascular Disease Physician
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 04-36484
- Practice address
- 9300 E 29TH St N
Suite 310
Wichita, KS 67226-2182 - Phone
- (316) 858-9000
- Fax
- (316) 858-9005
- NPI assigned
- Oct 31, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 04-36484 | KS | Primary |
| Internal Medicine Physician | 207R00000X | 04-36484 | KS |
Addresses
Primary practice location
9300 E 29TH St N
Suite 310
Wichita, KS 67226-2182
Mailing address
9300 E 29TH St N
Suite 310
Wichita, KS 67226-2182
Phone (316) 858-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201103480A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9840 E 21St St N
Cypress Heart
Wichita, KS 67206-3589
Phone (316) 858-9000
Hospital & facility affiliations
- Kansas Medical Center LLC
- Southwest Medical Center
- Meade District Hospital
- Wilson Medical Center
- Greenwood County Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.33 of 100
- Quality
- 59.78
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 73.83
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-36484 | KS | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas Medical Center, LLC | Current | Accepting new patients | |
| Kansas Medical Center LLC | Current | Accepting new patients | |
| Kansas Medical Center, LLC | Current | Accepting new patients | |
| Kansas Medical Center, LLC | Cardiovascular Disease | Current | Accepting new patients |
Locations
1124 W 21st St
Andover, KS 67002
Phone (316) 300-4000
315 W 15th St
Liberal, KS 67901
Phone (620) 624-1651
2600 Ottawa Rd
Neodesha, KS 66757
Phone (620) 325-2611
9300 E 29th St N
Ste 310
Wichita, KS 67226
Phone (316) 612-1833
9840 E 21st St N
Wichita, KS 67206
Phone 31685890005811
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/meade-5283572b
- https://api.platform.athenahealth.com/12044/brand/1/csg/1/fhir/r4
- https://fhir-myrecord.cerner.com/r4/6facadf3-e724-4db7-a26f-0449710dbd8a/
- https://api.platform.athenahealth.com/6882/brand/1/csg/1/fhir/r4
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Andover, KS
- NPI 1255380127
-
- Emergency Medical Services (Emergency Medicine) Physician
- Andover, KS
- NPI 1801007786
-
- Anesthesiology Physician
- Andover, KS
- NPI 1952512832
-
- Cardiovascular Disease Physician
- Andover, KS
- NPI 1952585341
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Eureka, KS
- NPI 1629044961
-
- General Acute Care Hospital
- Andover, KS
- NPI 1255380127
-
- Critical Access Hospital
- Meade, KS
- NPI 1922004076
-
- General Acute Care Hospital
- Liberal, KS
- NPI 1538109251
-
- Critical Access Hospital
- Neodesha, KS
- NPI 1669441176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425254400000",
"number": "1003160987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9300 E 29TH ST N",
"address_2": "SUITE 310",
"city": "WICHITA",
"state": "KS",
"postal_code": "672262182",
"telephone_number": "316-858-9000",
"fax_number": "316-858-9005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 E 29TH ST N",
"address_2": "SUITE 310",
"city": "WICHITA",
"state": "KS",
"postal_code": "672262182",
"telephone_number": "316-858-9000",
"fax_number": "316-858-9005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QADDOUR",
"first_name": "AHMAD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-31",
"last_updated": "2015-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "KS",
"license": "04-36484",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KS",
"license": "04-36484",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201103480A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.