Individual provider Active NPI

Diana Leitner, MD

  • Ophthalmology Physician
  • Wichita, KS
National Provider Identifier
1043572613
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35130869 Issued in OH
Practice address
1010 N. Kansas
Wcgme
Wichita, KS 67214
Phone
(316) 962-3030
NPI assigned
Jun 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9407847 KS
Ophthalmology Physician 207W00000X 35130869 OH Primary

Addresses

Primary practice location

1010 N. Kansas
Wcgme
Wichita, KS 67214

Mailing address

2530 Erwin Rd Apt 282
Durham, NC 27705-4768
Phone (316) 239-8257

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
I20191113001498 KS Practitioner - Ophthalmology 3678721727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Kansas School of Med (KC/Wich/Sal), 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grene Vision Group LLCGroup PAC ID 1254324023, 9 clinicians

Practice addresses (Care Compare)

1277 N Maize Rd
Grene Vision Group
Wichita, KS 67212-4302
Phone (316) 722-8883

1708 E 23Rd St
Hutchinson, KS 67502-1114
Phone (620) 663-7187

1821 N Webb Rd
Suite 201
Wichita, KS 67206-3413
Phone (316) 684-5158

1851 N Webb Rd
Wichita, KS 67206-3413

3910 N Ridge Rd
Wichita, KS 67205-7800
Phone (316) 721-2701

Hospital & facility affiliations

  • Wesley Medical Center Hospital, Wichita, KS, CCN 170123

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9407847KSMDInternal Medicine Physician
35130869OHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grene Vision Group LLC Ophthalmology CurrentSince Oct 18, 2019 Accepting new patients
Grene Vision Group LLC Ophthalmology CurrentSince Oct 18, 2019 Accepting new patients

Locations

1821 E Madison Ave
Ste 1600
Derby, KS 67037
Phone (316) 789-8383

1400 W Central Ave
El Dorado, KS 67042
Phone (316) 320-2200

1708 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 663-7187

1821 N Webb Rd
Ste 201
Wichita, KS 67206
Phone (316) 684-5158

1277 N Maize Rd
Wichita, KS 67212
Phone (316) 722-8883

5231 E Central Ave
Ste D
Wichita, KS 67208
Phone (316) 683-6870

1812 S Seneca St
Ste 402
Wichita, KS 67213
Phone (316) 613-2033

1851 N Webb Rd
Wichita, KS 67206
Phone (316) 609-2150

1851 N Webb Rd
Bldg 200
Wichita, KS 67206
Phone (316) 636-2010

655 N Woodlawn St
Wichita, KS 67208
Phone (316) 684-5158

Interoperability endpoints

  • Direct secure messaging: diana.leitner.p1@direct.gvg.nextgenshare.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 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": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1043572613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 ERWIN RD APT 282",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054768",
            "telephone_number": "316-239-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N. KANSAS",
            "address_2": "WCGME",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67214",
            "telephone_number": "316-962-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEITNER",
        "first_name": "DIANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "9407847",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35130869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.