Individual provider Active NPI

Edmond G Feuille II, MD

  • Obstetrics & Gynecology Physician
  • Wichita, KS
National Provider Identifier
1033166152
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
04-16755 Issued in KS
Practice address
551 N Hillside St
Ste 510
Wichita, KS 67214-4923
Phone
(316) 685-0559
Fax
(316) 685-0455
NPI assigned
May 27, 2006
Last updated
Mar 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 04-16755 KS Primary

Addresses

Primary practice location

551 N Hillside St
Ste 510
Wichita, KS 67214-4923

Mailing address

551 N Hillside St
Ste 510
Wichita, KS 67214-4923
Phone (316) 685-0559

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address klong@wichitaobgyn.org Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050809000620 KS Practitioner - Obstetrics/GynecologyPractitioner - Family Practice 6709815889 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Family Practice
Education
University of Texas Medical Branch at Galveston, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wichita OB-GYN Associates, PAGroup PAC ID 2163689290, 4 clinicians

Practice addresses (Care Compare)

551 N Hillside St
Suite 510
Wichita, KS 67214-4928
Phone (316) 685-0559

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita OB-GYN Associates, PA Obstetrics & Gynecology CurrentSince Jan 1, 2012 Accepting new patients
Wesley Physicians Medical Specialties LLC CurrentSince Sep 11, 2018 Accepting new patients
Wesley Pathology Consultants PA Current Accepting new patients
Wesley Medical Center LLC Past Accepting new patients
Kansas Physicians Group, LLC Past Accepting new patients

Locations

2600 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 260-1690

3243 E Murdock St
Ste Lvl-G
Wichita, KS 67208
Phone (316) 962-3100

3243 E Murdock St
Ste Lvlg
Wichita, KS 67208
Phone (316) 962-2080

551 N Hillside St
Ste 510
Wichita, KS 67214
Phone (316) 219-8054

850 N Hillside St
Wichita, KS 67214
Phone (316) 688-3070

8710 W 13th St N
Ste 102
Wichita, KS 67212
Phone (316) 260-6363

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d

Interoperability endpoints

  • Direct secure messaging: edmond.feuille.1@14687.direct.athenahealth.com
  • Direct secure messaging: klong@wichitaobgyn.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1033166152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 N HILLSIDE ST",
            "address_2": "STE 510",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144923",
            "telephone_number": "316-685-0559",
            "fax_number": "316-685-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 N HILLSIDE ST",
            "address_2": "STE 510",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144923",
            "telephone_number": "316-685-0559",
            "fax_number": "316-685-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEUILLE",
        "first_name": "EDMOND",
        "middle_name": "G",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "04-16755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "klong@wichitaobgyn.org",
            "affiliation": "N",
            "endpointDescription": "Clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "551 N Hillside St",
            "address_2": "STE 510",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672144923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.