Active NPI
Samrah Mansoor, MD
- Family Medicine Physician
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 04-31546
- Practice address
- 3161 N Rock Rd
Suite C
Wichita, KS 67226-1312 - Phone
- (316) 440-2713
- Fax
- (316) 260-6897
- NPI assigned
- Nov 7, 2006
- Last updated
- Mar 24, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 04-31546 | KS | Primary |
Addresses
Primary practice location
3161 N Rock Rd
Suite C
Wichita, KS 67226-1312
Mailing address
3161 N Rock Rd
Suite C
Wichita, KS 67226-1312
Phone (316) 440-2713
Other practice location 1
27522 Antonio Pkwy Ste P3
Ladera Ranch, CA 92694-2166
Phone (949) 207-3786
Other practice location 2
1711 W Katella Ave
Anaheim, CA 92804-6450
Phone (714) 400-2959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS, NE, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3161 N Rock Rd
Suite B
Wichita, KS 67226-1453
Phone (316) 978-0287
3161 N Rock Rd a
Afc Doctors Express
Wichita, KS 67226-1312
Phone (316) 440-2712
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-31546 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maria Medical Group, LLC | Current | Accepting new patients | |
| Sun Medical Group, Inc | Family Medicine | Current | Accepting new patients |
| Sun Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| VWB LLC | Family Medicine | Current | Accepting new patients |
| Med Ped Clinic of Wichita PA | Family Medicine | Current | Accepting new patients |
| Premier Urgent Care/Family Care of Nebraska LLC | Current | Accepting new patients | |
| Allmo Collective LLC | Family Medicine | Current | Accepting new patients |
| Neurology Consultants of Kansas LLC | Past | Accepting new patients | |
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
Locations
1711 W Katella Ave
Anaheim, CA 92804
Phone (714) 337-9393
27522 Antonio Pkwy
Ste P3
Ladera Ranch, CA 92694
Phone (949) 207-3786
301 N Pagosa Blvd
Unit B10
Pagosa Springs, CO 81147
3161 N Rock Rd
Wichita, KS 67226
Phone (316) 440-2712
3161 N Rock Rd
Ste A
Wichita, KS 67226
Phone (316) 440-2712
3161 N Rock Rd
Ste B
Wichita, KS 67226
Phone (316) 978-0287
3161 N Rock Rd
Ste C
Wichita, KS 67226
Phone (316) 440-2713
9415 E Harry St
Ste 202
Wichita, KS 67207
Phone (316) 691-0309
320 Geneva Ave
Ste 100
Joplin, MO 64801
Phone (970) 264-5991
4004 N 132nd St
Ste 101
Omaha, NE 68164
Phone (402) 302-2273
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EBAGDD/Endpoint/EBAGDD
- https://fhir4.healow.com/fhir/r4/FJHFCD
Organizations & group practices 10
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.
-
dba AFC Doctors Express
- Urgent Care Clinic/Center
- Wichita, KS
- NPI 1053740092
-
dba AFC Ladera RAnch
- Urgent Care Clinic/Center
- Ladera Ranch, CA
- NPI 1114588704
Family Medicine
-
- Family Medicine Physician
- Wichita, KS
- NPI 1598868093
-
- Urgent Care Clinic/Center
- Omaha, NE
- NPI 1619354511
-
dba AFC Urgent Care Anaheim
- Urgent Care Clinic/Center
- Anaheim, CA
- NPI 1114673902
Family Medicine
-
- Neurology Physician
- Wichita, KS
- NPI 1760474936
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1063581809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3161 N ROCK RD",
"address_2": "SUITE C",
"city": "WICHITA",
"state": "KS",
"postal_code": "672261312",
"telephone_number": "316-440-2713",
"fax_number": "316-260-6897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3161 N ROCK RD",
"address_2": "SUITE C",
"city": "WICHITA",
"state": "KS",
"postal_code": "672261312",
"telephone_number": "316-440-2713",
"fax_number": "316-260-6897"
}
],
"practiceLocations": [
{
"address_1": "27522 Antonio Pkwy Ste P3",
"address_purpose": "LOCATION",
"city": "Ladera Ranch",
"state": "CA",
"postal_code": "926942166",
"country_code": "US",
"telephone_number": "949-207-3786",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1711 W Katella Ave",
"address_purpose": "LOCATION",
"city": "Anaheim",
"state": "CA",
"postal_code": "928046450",
"country_code": "US",
"telephone_number": "714-400-2959",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANSOOR",
"first_name": "SAMRAH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "04-31546",
"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 Mar 24, 2026; 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.