Aubrey Shea Ralston, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

04-41288 Issued in KS

Practice address

700 W Central Ave Ste 205
El Dorado, KS 67042

Phone

(316) 321-2010

Fax

(316) 321-8871

NPI assigned

Mar 31, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

University of Kansas School of Med (KC/Wich/Sal), 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Novacare Outpatient Rehabilitation IncGroup PAC ID 8123939246, 34 clinicians

Primary Care Associates LLCGroup PAC ID 1153235015, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Phoenix Home Care Home health agency, Wichita, KS, CCN 178012
• Specialized Home Care Home health agency, Wichita, KS, CCN 178111

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aralston@directsbamh.org
• Direct secure messaging: amy.ralston@directsbamh.org
• Direct secure messaging: aubrey.ralston.1@3862.direct.athenahealth.com

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.

• Primary Care Associates, LLC

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1003832403
  Medicare reassignment Care Compare group NPD
• El Dorado Clinic, P.a.

  • Family Medicine Physician
  • El Dorado, KS
  • NPI 1770559767
  Medicare reassignment
• Novacare Outpatient Rehabilitation Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Derby, KS
  • NPI 1952306938
  Care Compare group

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

• Core Home Health Agency LLC

  dba Specialized Home Care

  • Home Health Agency
  • Wichita, KS
  • NPI 1194493569
  Care Compare affiliation
• Proactive Home Care, LLC

  dba Phoenix Home Care

  • 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": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1053706655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W CENTRAL AVE STE 205",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670422186",
            "telephone_number": "316-321-2010",
            "fax_number": "316-321-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W CENTRAL AVE STE 205",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "67042",
            "telephone_number": "316-321-2010",
            "fax_number": "316-321-8871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 N College Ave",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727031908",
            "country_code": "US",
            "telephone_number": "479-713-8000",
            "fax_number": "479-444-7820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RALSTON",
        "first_name": "AUBREY",
        "middle_name": "SHEA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-31",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KS",
            "license": "04-41288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201210480A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Irene Pound
• Tera Price
• Debra Prim
• Tyson Blake Prouse, M.S., T-LMLP
• R.M. Moody,DDS/El Dorado
• Marcus S Randall, OD
• William Spencer Rasband, DDS
• Rausch Medical Clinics, LLC (El Dorado Sports & Family Medicine)
• Suguna V Reddy, MD
• Ashlee Marie Reed, LMSW

• General Practice Physician in El Dorado, KS
• Providers in El Dorado, KS by specialty
• General Practice Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.