Individual provider Active NPI

Jason Daniel Woolard, MD

  • Vascular Surgery Physician
  • Wichita, KS
National Provider Identifier
1053533349
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
04-31478 Issued in KS
Practice address
9350 E 35TH St N Ste 103
Wichita, KS 67226-2022
Phone
(316) 858-5000
Fax
(316) 858-5003
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0431478 KS
Vascular Surgery Physician 2086S0129X 04-31478 KS Primary

Addresses

Primary practice location

9350 E 35TH St N Ste 103
Wichita, KS 67226-2022

Mailing address

551 N Hillside St Ste 201
Wichita, KS 67214-4923
Phone (316) 263-0296

Other practice location 1

818 N Emporia St Ste 200
Wichita, KS 67214-3788
Phone (316) 263-0296

Other identifiers 1

IdentifierTypeStateIssuer
200654750AMedicaidKS

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
I20100810000964 KS Practitioner - Vascular SurgeryPractitioner - General Surgery 0042344202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
University of Kansas School of Med (KC/Wich/Sal), 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wichita Surgical Specialists PAGroup PAC ID 6507840634, 60 clinicians

Practice addresses (Care Compare)

1947 N Founders Cir
Wichita, KS 67206-3548
Phone (316) 858-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.07 of 100Reported as individual
Quality
60.47
Promoting interoperability
100
Improvement activities
40
Cost
79.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-31478KSMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita Surgical Specialists PA Surgery CurrentSince Jul 1, 2010 Accepting new patients
Meritas Health Corporation PastSince Aug 8, 2021 Accepting new patients
Kansas Heart Hospital, LLC Past Accepting new patients

Locations

1947 N Founders Cir
Wichita, KS 67206
Phone (316) 613-4640

9350 E 35th St N
Ste 103
Wichita, KS 67226
Phone (316) 858-5000

818 N Emporia St
Ste 200
Wichita, KS 67214
Phone (316) 263-0296

551 N Hillside St
Ste 201
Wichita, KS 67214
Phone (316) 263-0296

Interoperability endpoints

  • Direct secure messaging: jason.woolard@khindirect.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kansas Heart HospitalWichita, KS, CCN 170186 Hospital Corporate Director Feb 24, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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 7

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1053533349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 N HILLSIDE ST STE 201",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144923",
            "telephone_number": "316-263-0296",
            "fax_number": "316-263-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 E 35TH ST N STE 103",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262022",
            "telephone_number": "316-858-5000",
            "fax_number": "316-858-5003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "818 N Emporia St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672143788",
            "country_code": "US",
            "telephone_number": "316-263-0296",
            "fax_number": "316-263-9523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOLARD",
        "first_name": "JASON",
        "middle_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "0431478",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "KS",
            "license": "04-31478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200654750A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.