Active NPI
Kenneth A Jansson, MD
- Orthopaedic Surgery Physician
- Wichita, KS
National Provider Identifier
1073580635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 04-23558
- Practice address
- 9828 E Shannon Woods Cir # 100
Wichita, KS 67226-4100 - Phone
- (316) 631-1600
- Fax
- (316) 631-1638
- NPI assigned
- Mar 2, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 04-23558 | KS | Primary |
Addresses
Primary practice location
9828 E Shannon Woods Cir # 100
Wichita, KS 67226-4100
Mailing address
9828 E Shannon Woods Cir # 100
Wichita, KS 67226-4100
Phone (316) 631-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100126950C | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 79.41 of 100
- Quality
- 61.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.25
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-23558 | KS | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William Newton Memorial Hospital | Current | Accepting new patients |
Locations
1305 E 5th Ave
Winfield, KS 67156
Phone (620) 221-6125
1230 E 6th Ave
Ste 2A
Winfield, KS 67156
Phone (620) 221-4443
1230 E 6th Ave
Ste 1B
Winfield, KS 67156
Phone (620) 221-4000
Interoperability endpoints
- kenneth.jansson.1@19896.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Winfield, KS
- NPI 1548229149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697587200000",
"number": "1073580635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9828 E SHANNON WOODS CIR # 100",
"city": "WICHITA",
"state": "KS",
"postal_code": "672264100",
"telephone_number": "316-631-1600",
"fax_number": "316-631-1617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9828 E SHANNON WOODS CIR # 100",
"city": "WICHITA",
"state": "KS",
"postal_code": "672264100",
"telephone_number": "316-631-1600",
"fax_number": "316-631-1638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANSSON",
"first_name": "KENNETH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-02",
"last_updated": "2023-10-18",
"certification_date": "2023-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "KS",
"license": "04-23558",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100126950C",
"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 Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.