Endocrine Center of Kansas, LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

04-35481 Issued in KS

Legal business name

ENDOCRINE CENTER OF KANSAS, LLC

Practice address

9300 E 29TH St N Ste 204
Wichita, KS 67226-2183

Phone

(316) 500-6000

Fax

(316) 444-0409

NPI assigned

Jun 14, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rami Mortada, MDNPI 1174720205

Title

Medical Director

Phone

(316) 518-7737

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16181/brand/1/csg/1/fhir/r4

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rami Mortada, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Wichita, KS
  • NPI 1174720205
  Medicare reassignment Care Compare group NPD Authorized official
• Drea Lanae Shaver, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Wichita, KS
  • NPI 1720890486
  Medicare reassignment Care Compare group NPD
• Amanda Elizabeth Ast, APRN

  • Family Nurse Practitioner
  • Wichita, KS
  • NPI 1255834735
  Medicare reassignment Care Compare group
• Brittyn Ann Biby, PA

  • Physician Assistant
  • Wichita, KS
  • NPI 1376435693
  Medicare reassignment Care Compare group
• Ashley Ann Trood

  • Physician Assistant
  • Wichita, KS
  • NPI 1285379164
  Medicare reassignment Care Compare group
• Mimi L Tran, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Wichita, KS
  • NPI 1396497905
  Medicare reassignment
• Madison Behrens

  • Medical Physician Assistant
  • Wichita, KS
  • NPI 1407735897

  Endocrinology, Diabetes & Metabolism

  NPD
• My-Trinh Nguyen, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Wichita, KS
  • NPI 1710899547
  NPD

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1093245979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 E 29TH ST N STE 204",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262183",
            "telephone_number": "316-500-6000",
            "fax_number": "316-444-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 E 29TH ST N STE 204",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262183",
            "telephone_number": "316-500-6000",
            "fax_number": "316-444-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINE CENTER OF KANSAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MORTADA",
        "authorized_official_first_name": "RAMI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "316-518-7737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "KS",
            "license": "04-35481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endocrinology, Diabetes & Metabolism Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Endocrinology, Diabetes & Metabolism Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.