Active NPI
Chanel Doyle
- Family Medicine Physician
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 94-10167
- Practice address
- 1010 N Kansas St Ste 3023
Wichita, KS 67214-3124 - Phone
- (316) 293-2665
- NPI assigned
- May 7, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 94-10167 | KS | Primary |
Addresses
Primary practice location
1010 N Kansas St Ste 3023
Wichita, KS 67214-3124
Mailing address
1010 N Kansas St Ste 3023
Wichita, KS 67214-3124
Phone (316) 293-2665
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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
- Family Practice
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
21772 S Ellsworth Loop Rd
Queen Creek, AZ 85142-7709
Phone (480) 512-3700
Hospital & facility affiliations
- Banner Home Care-Arizona
- Banner Gateway Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94-10167 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Primary Care Physicians Arizona LLC | Current | Accepting new patients | |
| Banner Primary Care Physicians Arizona LLC | Current | Accepting new patients | |
| Banner Primary Care Physicians Arizona LLC | Current | Accepting new patients |
Locations
13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800
21772 S Ellsworth Loop Rd
Queen Creek, AZ 85142
Phone (480) 512-3700
Organizations & group practices 3
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.
-
- Primary Care Clinic/Center
- Phoenix, AZ
- NPI 1659640902
-
- Primary Care Clinic/Center
- Phoenix, AZ
- NPI 1417238908
-
- Primary Care Clinic/Center
- Phoenix, AZ
- NPI 1790306066
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gilbert, AZ
- NPI 1699884858
-
- Home Health Agency
- Sun City, AZ
- NPI 1023051927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588809600000",
"number": "1023630597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 N KANSAS ST STE 3023",
"city": "WICHITA",
"state": "KS",
"postal_code": "672143124",
"telephone_number": "316-293-2665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 N KANSAS ST STE 3023",
"city": "WICHITA",
"state": "KS",
"postal_code": "672143124",
"telephone_number": "316-293-2665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOYLE",
"first_name": "CHANEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-07",
"last_updated": "2020-05-07",
"certification_date": "2020-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "94-10167",
"primary": true
}
],
"identifiers": [],
"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 May 7, 2020; 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.