Mansoor Ahmed Tahir, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

15-01665 Issued in KS

Practice address

3161 N Rock Rd
Suite C
Wichita, KS 67226-1312

Phone

(316) 440-2713

Fax

(316) 260-6897

NPI assigned

Feb 13, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maria Medical Group LLCGroup PAC ID 5991936403, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Maria Medical Group, LLC

  dba AFC Doctors Express

  • Urgent Care Clinic/Center
  • Wichita, KS
  • NPI 1053740092
  Medicare reassignment Care Compare group
• Maria Medical Services LLC

  dba Afc Urgent Care

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1134953888
  Medicare reassignment
• Total Wound Care of Kansas LLC

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1770265662
  Medicare reassignment
• Total Wound Care of Oklahoma, LLC

  • Internal Medicine Physician
  • Oklahoma City, OK
  • NPI 1972269033
  NPD (past)

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

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1083038939",
    "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": [],
    "basic": {
        "last_name": "TAHIR",
        "first_name": "MANSOOR",
        "middle_name": "AHMED",
        "name_prefix": "Mr.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-13",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly M Tadtman, RD, LD
• Camarra Tafesse, LMSW
• Christa Taft, LAC
• Tag Treatment Center LLC (Therapeutic Alliance Group)
• Jacque Lynn Tague, LMSW, LAC
• Casey Sean Tajchman, RPT
• Cecilia Talamantes
• Isaac Clayton Talbert, MD
• Megan Talbert
• Kimberly L Talbot, ARNP

• Physician Assistant in Wichita, KS
• Providers in Wichita, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.

Verify at the official NPI Registry.