Individual provider Active NPI

Imad I Nassif, MD

  • Internal Medicine Physician
  • Wichita, KS
National Provider Identifier
1043286453
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0428527 Issued in KS
Practice address
9050 E 29TH St N Ste 100
Wichita, KS 67226-2187
Phone
(316) 219-9651
Fax
(316) 219-9655
NPI assigned
Feb 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0428527 KS Primary

Addresses

Primary practice location

9050 E 29TH St N Ste 100
Wichita, KS 67226-2187

Mailing address

9050 E 29TH St N Ste 100
Wichita, KS 67226-2187
Phone (316) 219-9651

Other identifiers 2

IdentifierTypeStateIssuer
102935OtherBLUE CROSS BLUE SHIELD
1003616808MedicaidKS

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
I20050817001149 KS Practitioner - Gastroenterology 8426088576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cancer Center of Kansas PAGroup PAC ID 5395732820, 30 clinicians

Practice addresses (Care Compare)

818 N Emporia St
Suite 403
Wichita, KS 67214-3728
Phone (316) 262-4467

9050 E 29TH St N
Suite 100
Wichita, KS 67226-2187
Phone (316) 219-9651

Hospital & facility affiliations

  • Ascension Via Christi Hospitals Wichita, Inc. Hospital, Wichita, KS, CCN 170122
  • Wesley Medical Center Hospital, Wichita, KS, CCN 170123
  • Via Christi Hospital Wichita St Teresa, Inc Hospital, Wichita, KS, CCN 170200

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy138
Upper gastrointestinal (GI) endoscopy for acid reflux167

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0428527KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Center of Kansas, P.a. CurrentSince Jul 15, 2003 Accepting new patients
Cancer Center of Kansas, P.a. CurrentSince Jul 15, 2003 Accepting new patients

Locations

818 N Emporia St
Ste 403
Wichita, KS 67214
Phone (316) 613-4296

9050 E 29th St N
Ste 100
Wichita, KS 67226
Phone (316) 219-9651

Interoperability endpoints

  • Direct secure messaging: imad.nassif@cck.ikm.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1043286453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9050 E 29TH ST N STE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262187",
            "telephone_number": "316-219-9651",
            "fax_number": "316-219-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 E 29TH ST N STE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262187",
            "telephone_number": "316-219-9651",
            "fax_number": "316-219-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSIF",
        "first_name": "IMAD",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "0428527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "102935",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003616808",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.