NPIMap

Organization Active NPI

Premier Hospitalists of Kansas, LLC

  • Physical Medicine & Rehabilitation Physician
  • Wichita, KS
National Provider Identifier
1063230803
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PREMIER HOSPITALISTS OF KANSAS, LLC
Practice address
833 N Vassar Ave
Wichita, KS 67208
Phone
(316) 755-0144
Fax
(844) 274-1204
NPI assigned
Oct 1, 2024
Last updated
Dec 4, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
PREMIER HOSPITALISTS OF KANSAS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Elizabeth Rian Burns
Title
Director of Operations
Phone
(316) 755-0144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X Primary

Addresses

Primary practice location

833 N Vassar Ave
Wichita, KS 67208

Mailing address

3515 W Central Ave
Wichita, KS 67203-4921
Phone (316) 755-0144

Other practice location 1

1151 N Rock Rd
Wichita, KS 67206-1262
Phone (316) 755-0144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131016000888 KS Part B Supplier - Clinic/Group Practice 6002040557 Receives reassigned benefits from 24 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bel Aire, KS; Wichita, KS; Newton, KS; Hutchinson, KS; Derby, KS

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Premier Hospitalists KS LLC4 organizations share this tax ID, including this one
Part of
Premier Hospitalists KS LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3515 W Central Ave
Wichita, KS 67203
Phone (316) 942-0119

Practitioners & affiliated clinicians

Practitioners 21

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 21

NPI Registry JSON

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1063230803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 W CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034921",
            "telephone_number": "316-755-0144",
            "fax_number": "844-274-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 N VASSAR AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67208",
            "telephone_number": "316-755-0144",
            "fax_number": "844-274-1204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1151 N Rock Rd",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672061262",
            "country_code": "US",
            "telephone_number": "316-755-0144",
            "fax_number": "844-274-1204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER HOSPITALISTS OF KANSAS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER HOSPITALISTS OF KANSAS, LLC",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "RIAN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "316-755-0144"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 4, 2024; 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.