Kansas Nephrology Physicians PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

KANSAS NEPHROLOGY PHYSICIANS PA

Practice address

1035 N Emporia St
Suite 105
Wichita, KS 67214-2944

Phone

(316) 263-7285

Fax

(316) 263-2666

NPI assigned

Feb 21, 2006

Last updated

Aug 22, 2020By 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

Gregg A Dellett

Title

Assistant Office Manager

Phone

(316) 263-7285

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS, OK2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Kansas Nephrology Physicians, P.a.

  dba Osteoporosis Detection Center

  • Specialist
  • Wichita, KS
  • NPI 1720053754

  9537151949

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Kansas Nephrology Physicians, P.a.

  dba Osteoporosis Detection Center

  • Specialist
  • Wichita, KS
  • NPI 1720053754

  O20040402000842

  Same enrollment

Locations

Practitioners 25

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.

• Kenneth L Kovach, M.D.

  • Specialist
  • Wichita, KS
  • NPI 1881691186

  OK

  Medicare reassignment NPD
• Salam Ajwad Kadhem

  • Nephrology Physician
  • Wichita, KS
  • NPI 1366856130
  NPD
• Whitney Leigh Lohkamp, FNP-C

  • Nurse Practitioner
  • Wichita, KS
  • NPI 1912607425
  NPD
• Rayane Nassar, MD

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1841429370
  NPD
• Matthew Todd Reed, M.D.

  • Nephrology Physician
  • Wichita, KS
  • NPI 1306966965
  NPD
• Rachel Samantha Reed, APRN

  • Acute Care Nurse Practitioner
  • Wichita, KS
  • NPI 1568076669
  NPD
• Dennis L Ross, M.D.

  • Specialist
  • Wichita, KS
  • NPI 1073510376
  NPD
• Bassem Rouphael, MD

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1851520381

  Nephrology

  NPD
• Pierre J Souraty, MD

  • Nephrology Physician
  • Wichita, KS
  • NPI 1043404940
  NPD
• Jason R Taylor, M.D.

  • Nephrology Physician
  • Wichita, KS
  • NPI 1235136532
  NPD
• Juan Tong, APRN

  • Nurse Practitioner
  • Wichita, KS
  • NPI 1447047972
  NPD
• Lisa A Weber, M.D.

  • Specialist
  • Wichita, KS
  • NPI 1134126436
  NPD

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093780454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 N EMPORIA ST",
            "address_2": "SUITE 105",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142944",
            "telephone_number": "316-263-7285",
            "fax_number": "316-263-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 N EMPORIA ST",
            "address_2": "SUITE 105",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142944",
            "telephone_number": "316-263-7285",
            "fax_number": "316-263-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS NEPHROLOGY PHYSICIANS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DELLETT",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ASSISTANT OFFICE MANAGER",
        "authorized_official_telephone_number": "316-263-7285"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kansas Masonic Home
• Kansas Masonic Home, Inc. (Kansas Masonic Home)
• Kansas Masonic Home, Inc.
• Kansas Medical Express LLC
• Kansas Mental Health Medicine LLC
• Kansas Nephrology Physicians, P.a. (Osteoporosis Detection Center)
• Kansas Neurological Consultants
• Kansas Orthopaedic Center, P.a.
• Kansas Orthopaedic Center, P.a.
• Kansas Orthopaedic Center, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.