Kimberly D Kenas, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0530127 Issued in KS

Practice address

8200 W Central Ave
Suite 1
Wichita, KS 67212-9503

Phone

(316) 722-6260

Fax

(316) 721-8307

NPI assigned

Aug 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Family Practice

Education

Kansas City University of Med & Biosciences, College of Osteo Med, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Wichita Family Physicians, P.a.Group PAC ID 5799745717, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Phoenix Home Care Home health agency, Wichita, KS, CCN 178012

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.kenas@khindirect.org
• FHIR API: https://fhir4.healow.com/fhir/r4/EJDEBA
• Direct secure messaging: kimberly.kenas@wwfp.eclinicaldirectplus.com

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.

• West Wichita Family Physicians, P.a.

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1043228984
  Medicare reassignment Care Compare group NPD
• West Wichita Family Physicians, P.a.

  • Ambulatory Surgical Clinic/Center
  • Wichita, KS
  • NPI 1790902617
  NPD
• West Wichita Family Physicians, P.a.

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1902810302
  NPD
• West Wichita Family Pharmacy LLC

  • Community/Retail Pharmacy
  • Wichita, KS
  • NPI 1548737182
  NPD (past)

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

• Proactive Home Care, LLC

  • Home Health Agency
  • Wichita, KS
  • NPI 1013979905
  Care Compare affiliation

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053323972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 W CENTRAL AVE",
            "address_2": "SUITE 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672129503",
            "telephone_number": "316-722-6260",
            "fax_number": "316-721-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 W CENTRAL AVE",
            "address_2": "SUITE 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672129503",
            "telephone_number": "316-722-6260",
            "fax_number": "316-721-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENAS",
        "first_name": "KIMBERLY",
        "middle_name": "D",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0530127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH SYSTEMS",
            "identifier": "8373",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "104137",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "P00245865",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa L Kelsay, RN
• Dominica Keltner West, LMSW
• David W Kemp, ORT
• Ruth Ellen Kemper, LCMFT
• David Kempin, PT
• Brenna Kendall, APRN
• Kimberly L Kendall, PA
• Roxan A Kendall, APRN
• Karen Kay Kendrick, OT
• Linda S Kendrick, PA-C

• Family Medicine Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.