Individual provider Active NPI

Kenneth A Jansson, MD

  • Orthopaedic Surgery Physician
  • Wichita, KS
National Provider Identifier
1073580635
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
04-23558 Issued in KS
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

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100126950CMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.41 of 100Reported as group
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

LicenseStateTypeSpecialty
04-23558KSMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.