Organization Active NPI

Pulmonary and Sleep Consultants of Kansas, LLC

  • Pulmonary Disease Physician
  • Wichita, KS
National Provider Identifier
1063704401
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
PULMONARY AND SLEEP CONSULTANTS OF KANSAS, LLC
Practice address
3009 N. Cypress
Wichita, KS 67226-4003
Phone
(316) 440-1010
Fax
(316) 440-0802
NPI assigned
May 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Authorized official

Name
Mandy Hiner
Title
Administrator
Phone
(316) 440-1010

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X KS
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X KS Primary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X KS

Addresses

Primary practice location

3009 N. Cypress
Wichita, KS 67226-4003

Mailing address

3009 N. Cypress
Wichita, KS 67226-4003
Phone (316) 440-1010

Other practice location 1

8710 W 13th St N Ste 105
Wichita, KS 67212-6277
Phone (316) 440-1010

Other identifiers 2

IdentifierTypeStateIssuer
200328110AOtherOKMEDICAID
200717670AMedicaidKS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110722000370 KS Part B Supplier - Clinic/Group Practice 2668640392 Receives reassigned benefits from 13 practitioners
Practice locations: Wichita, KS

National Provider Directory

National Provider Directory

Locations

8710 W 13th St N
Ste 105
Wichita, KS 67212
Phone (316) 440-1010

8710 W 13th St N
Wichita, KS 67212
Phone (316) 440-1010

9300 E 29th St N
Ste 330
Wichita, KS 67226
Phone (316) 928-8730

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15693/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1063704401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 N. CYPRESS",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264003",
            "telephone_number": "316-440-1010",
            "fax_number": "316-440-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 N. CYPRESS",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264003",
            "telephone_number": "316-440-1010",
            "fax_number": "316-440-0802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8710 W 13th St N Ste 105",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672126277",
            "country_code": "US",
            "telephone_number": "316-440-1010",
            "fax_number": "316-440-0802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PULMONARY AND SLEEP CONSULTANTS OF KANSAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "HINER",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "316-440-1010"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "KS",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KS",
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "KS",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "200328110A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200717670A",
            "state": "KS"
        }
    ],
    "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 1, 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.