NPIMap

Individual provider Active NPI

Wissam Saliba, MD

  • Internal Medicine Physician
  • Wichita, KS
National Provider Identifier
1104025949
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
046836 Issued in 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
Last updated
Mar 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 046836 KS Primary

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 2

TypeEndpointUseAffiliation
Direct Messaging Address michelle@wngpa.com
Direct Messaging Address michelle@wngpa.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121015000333 KS Practitioner - NephrologyPractitioner - Internal Medicine 3779733472 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wichita Nephrology Group PAGroup PAC ID 3375596174, shared by 2 NPIs, 12 clinicians

Practice addresses (Care Compare)

818 N Emporia
Suite 310
Wichita, KS 67214
Phone (316) 263-5891

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
046836KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita Nephrology Group, PA Current Accepting new patients
Wichita Nephrology Group, PA CurrentSince Aug 1, 2012 Accepting new patients

Locations

2122 N Garnett St
Wichita, KS 67206
Phone (316) 636-1234

818 N Emporia St
Ste 310
Wichita, KS 67214
Phone (316) 494-4912

Interoperability endpoints

  • Direct secure messaging: michelle@wngpa.com
  • Direct secure messaging: wissam.saliba@khindirect.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "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

Sources for this page

Verify at the official NPI Registry.