Wissam Saliba, MD
Individual provider Active NPI Internal Medicine Physician · Wichita, KS
NPI 1104025949 · NPPES record last updated Mar 30, 2021
Key facts
- NPI
- 1104025949
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 046836 (KS)
- Practice address
- 818 N Emporia St Ste 310
Wichita, KS 67214-3727 - Phone
- (316) 263-5891
- Fax
- (316) 263-3083
- NPI assigned
- Jul 12, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Wichita Nephrology Group PA
Practice addresses (Care Compare)
818 N Emporia
Suite 310
Wichita, KS 67214
Phone (316) 263-5891
Hospital & facility affiliations
- Renal Care Group - Dodge City
- DaVita NE Wichita Dialysis Center
- DaVita Wichita Dialysis Center
- DaVita Air Capital Dialysis
- DaVita Renal Treatment Center-Derby
- Ascension Via Christi Hospitals Wichita, Inc.
- Kansas Medical Center LLC
- Centura St. Catherine-Dodge City
- Wesley Medical Center
- Meade District Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121015000333 | KS | Practitioner - Nephrology |
3779733472 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046836 | KS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wichita Nephrology Group, PA | Current | Accepting new patients | |
| Wichita Nephrology Group, PA | Current |
Accepting new patients |
Locations
818 N Emporia St
Ste 310
Wichita, KS 67214
Phone (316) 573-6288
2122 N Garnett St
Wichita, KS 67206
Phone (316) 636-1234
Interoperability endpoints
- wissam.saliba@khindirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 046836 | KS | Yes |
Addresses
Primary practice location
818 N Emporia St Ste 310
Wichita, KS 67214-3727
Mailing address
818 N Emporia St Ste 310
Wichita, KS 67214-3727
Phone (316) 263-5891
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michelle@wngpa.com | ||
| Direct Messaging Address | michelle@wngpa.com |
NPI Registry JSON
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1104025949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 N EMPORIA ST STE 310",
"city": "WICHITA",
"state": "KS",
"postal_code": "672143727",
"telephone_number": "316-263-5891",
"fax_number": "316-263-3083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 N EMPORIA ST STE 310",
"city": "WICHITA",
"state": "KS",
"postal_code": "672143727",
"telephone_number": "316-263-5891",
"fax_number": "316-263-3083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALIBA",
"first_name": "WISSAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-12",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KS",
"license": "046836",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michelle@wngpa.com",
"affiliation": "N",
"address_1": "818 N Emporia St Ste 310",
"city": "Wichita",
"state": "KS",
"country_code": "US",
"postal_code": "672143727",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michelle@wngpa.com",
"affiliation": "N",
"address_1": "2122 N Garnett St",
"city": "Wichita",
"state": "KS",
"country_code": "US",
"postal_code": "672063023",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Wichita, KS
- Morgan Salazar
- Steven Salazar
- Anna Salehe
- Gino Salerno
- Fernando Salgado
- Sadieann Salloum
- Victor Salloum
- Stephanie M Salmans
- Christina Salomon
- Salyer Pharmacy, Inc
All providers in Wichita, KS · Internal Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.