Mohamed Farouk Elsisy

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

04-52876 Issued in KS

Practice address

3243 E Murdock St
Wichita, KS 67208-3052

Phone

(316) 500-8900

NPI assigned

Jun 3, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: melsisy767674@direct.vumc.org

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1053935122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 GILLHAM RD",
            "address_2": "ATTN PROVIDER ENROLLMENT DEPT",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641084619",
            "telephone_number": "816-701-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3243 E MURDOCK ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083052",
            "telephone_number": "316-500-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSISY",
        "first_name": "MOHAMED",
        "middle_name": "FAROUK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-03",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "KS",
            "license": "04-52876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Gerard Elmer, ATC
• Eloise J Pankratz, Lscsw, LLC
• Jacob Elpers, AT
• Hamsa Elsayed, MD
• Bob Elsbernd, R.PH.
• Bruce C Elson, MD
• Jody Elson, MD
• Katherine Diane Elston, PT
• Debby Elwood, L.P.C., L.A.C.
• Em Home Care, Inc.

• Pediatric Cardiology Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Pediatric Cardiology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.