Organization Active NPI

Heartland Cardiology, LLC

  • Cardiac Rehabilitation Registered Nurse
  • Wichita, KS
National Provider Identifier
1043019797
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiac Rehabilitation Registered NurseTaxonomy code 163WC3500X
Legal business name
HEARTLAND CARDIOLOGY, LLC
Practice address
3535 N Webb Rd
Wichita, KS 67226-8127
Phone
(316) 686-5300
Fax
(316) 651-8990
NPI assigned
Mar 13, 2025
Last updated
Mar 13, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
HEARTLAND CARDIOLOGY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Authorized official

Name
Bobby Rouse
Title
Cfo
Phone
(901) 219-8656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiac Rehabilitation Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC3500X Primary

Addresses

Primary practice location

3535 N Webb Rd
Wichita, KS 67226-8127

Mailing address

3535 N Webb Rd
Wichita, KS 67226-8127
Phone (316) 686-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250416000477 KS Part B Supplier - Intensive Cardiac Rehabilitation 1254646789 Receives reassigned benefits from 16 practitioners
Practice locations: Wichita, KS

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Heartland Cardiology LLC

Locations

700 Medical Center Dr
Ste 102
Newton, KS 67114
Phone (316) 283-3600

3535 N Webb Rd
Wichita, KS 67226
Phone (316) 260-4491

9000 W Central Ave
Wichita, KS 67212
Phone (316) 686-5300

Practitioners & affiliated clinicians

Practitioners 50

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1043019797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268127",
            "telephone_number": "316-686-5300",
            "fax_number": "316-651-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268127",
            "telephone_number": "316-686-5300",
            "fax_number": "316-651-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND CARDIOLOGY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEARTLAND CARDIOLOGY, LLC",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "ROUSE",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "901-219-8656"
    },
    "taxonomies": [
        {
            "code": "163WC3500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": null,
            "license": null,
            "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 Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.