NPIMap

Organization Active NPI

Maria Medical Group, LLC

Doing business as AFC Doctors Express

  • Urgent Care Clinic/Center
  • Wichita, KS
National Provider Identifier
1053740092
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MARIA MEDICAL GROUP, LLC
Doing business as
AFC Doctors Express
AFC Urgent Care
Practice address
3161 N Rock Rd
Wichita, KS 67226-1312
Phone
(417) 576-6713
NPI assigned
Nov 8, 2013
Last updated
Apr 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Authorized official

Name
Dr. Samrah Mansoor, MDNPI 1063581809
Title
Medical Director
Phone
(417) 988-8001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

3161 N Rock Rd
Wichita, KS 67226-1312

Mailing address

1616 N Gentry St
Wichita, KS 67208-2053
Phone (417) 576-6713

Other identifiers 2

IdentifierTypeStateIssuer
151250008OtherMOMEDICARE
207278201MedicaidMO

Other names 2

  • AFC Doctors Express Doing business as
  • AFC Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140326002119 KS Part B Supplier - Clinic/Group Practice 5991936403 Receives reassigned benefits from 37 practitioners
Practice locations: Wichita, KS
O20260417000871 KS DME Supplier - Physician - Family Practice 5991936403 Practice locations: Wichita, KS

National Provider Directory

National Provider Directory

Locations

10240 W 29th St N
Ste 112
Wichita, KS 67205

Practitioners & affiliated clinicians

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1053740092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 N GENTRY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672082053",
            "telephone_number": "417-576-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 N ROCK RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261312",
            "telephone_number": "417-576-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "MANSOOR",
        "authorized_official_first_name": "SAMRAH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "417-988-8001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "151250008",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207278201",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AFC Doctors Express",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AFC Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.