NPIMap

Organization Active NPI

Wichita Nephrology Group, PA

  • Nephrology Physician
  • Wichita, KS
National Provider Identifier
1104877810
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
WICHITA NEPHROLOGY GROUP, PA
Practice address
818 N Emporia St
Suite 310
Wichita, KS 67214
Phone
(316) 263-5891
Fax
(316) 263-3083
NPI assigned
May 15, 2006
Last updated
Mar 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Authorized official

Name
Dr. Ushasri Challa, MDNPI 1992756563
Title
Physician/Owner
Phone
(316) 263-5891

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

818 N Emporia St
Suite 310
Wichita, KS 67214

Mailing address

818 N Emporia St
Suite 310
Wichita, KS 67214-3729
Phone (316) 263-5891

Other identifiers 2

IdentifierTypeStateIssuer
100214570AMedicaidKS
100708900AMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michelle@wngpa.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050221000714 KS Part B Supplier - Clinic/Group Practice 3375596174 Receives reassigned benefits from 14 practitioners
1 other NPI on this enrollment
Practice locations: Wichita, KS; Hutchinson, KS; Winfield, KS; Garden City, KS; Coffeyville, KS; Derby, KS; Dodge City, KS; Eldorado, KS…

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

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

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D0451961Wichita Nephrology Group, PA818 N Emporia, Suite 310, Wichita, KS 67214ComplianceSep 12, 2026

National Provider Directory

National Provider Directory

Locations

818 N Emporia St
#S310
Wichita, KS 67214

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1104877810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 N EMPORIA ST",
            "address_2": "SUITE 310",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143729",
            "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",
            "address_2": "SUITE 310",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67214",
            "telephone_number": "316-263-5891",
            "fax_number": "316-263-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICHITA NEPHROLOGY GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "CHALLA",
        "authorized_official_first_name": "USHASRI",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "316-263-5891",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100214570A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100708900A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle@wngpa.com",
            "affiliation": "N",
            "address_1": "818 N Emporia St",
            "address_2": "Suite 310",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "67214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.