NPIMap

Organization Active NPI

Kansas Heart Hospital, LLC

  • General Acute Care Hospital
  • Wichita, KS
National Provider Identifier
1114928108
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H087009 Issued in KS
Legal business name
KANSAS HEART HOSPITAL, LLC
Practice address
3601 N Webb Rd.
Wichita, KS 67226-8129
Phone
(316) 630-5000
Fax
(316) 630-5050
NPI assigned
Aug 2, 2005
Last updated
Aug 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Authorized official

Name
Thomas L. Ashcom, MD, PHDNPI 1689637027
Title
Chief Executive Officer
Phone
(316) 630-5000

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
General Acute Care Hospital 282N00000X H087009 KS Primary

Addresses

Primary practice location

3601 N Webb Rd.
Wichita, KS 67226-8129

Mailing address

3601 N Webb Rd.
Wichita, KS 67226-8129
Phone (316) 630-5000

Other identifiers 1

IdentifierTypeStateIssuer
100340110AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040102000082 KS Part A Provider - Hospital 6204735947 1 other NPI on this enrollment
Practice locations: Wichita, KS
O20221223001240 KS Part B Supplier - Clinic/Group Practice 6204735947 Receives reassigned benefits from 28 practitioners
1 other NPI on this enrollment
Practice locations: Iola, KS; Pratt, KS; Jetmore, KS; Kingman, KS; Kinsley, KS; Kiowa, KS; Medicine Lodge, KS; Stafford, KS…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114928108. Details of each certification follow.

Hospital certification: CCN 170186

Legal name
KANSAS HEART HOSPITAL, LLC
Doing business as
KANSAS HEART HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Feb 17, 1999
Last certification
Oct 21, 2016
Beds
54
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
3601 N Webb Road
Wichita, KS 67226-8129
Other Hospital Practice Location
Hospital subgroups
Acute care

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Kansas Heart HospitalCCN 170186 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

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
17D0957688Kansas Heart Hospital3601 N Webb Rd, Wichita, KS 67226AccreditationApr 17, 2027

National Provider Directory

National Provider Directory
Tax ID family
Kansas Heart Hospital LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3602 N Webb Rd
Wichita, KS 67226

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jason D Woolard Individual Corporate Director Feb 24, 2024
Thomas L Ashcom Individual Corporate Director Oct 20, 2025
Cardiac Health of Wichita Inc Organization, Wichita, KS Corporation 5% Or Greater Direct Ownership Interest May 1, 2007 26.32%
Bruce Pringle Individual Corporate Director Apr 30, 2007
Cassandra Jo Dolen Individual W-2 Managing EmployeeCfo Sep 21, 2020
Ashley a Simon Individual Corporate DirectorDirector Feb 9, 2021
Steven a Hutchinson Individual Corporate DirectorExecutive Board Chair Apr 1, 2002
Michael Wescott Individual Corporate Director Apr 30, 2007
Layne M Reusser Individual Corporate DirectorPresident Oct 19, 2020
Richard a Steckley Individual Corporate Director Dec 24, 2013
Pamela Chambers Individual W-2 Managing EmployeeCoo Sep 8, 2020
Ascension Via Christi Hospitals Wichita Inc Organization, Wichita, KS Non-profit 5% Or Greater Direct Ownership Interest Apr 30, 2007 49%
Basil Hourani Individual 5% Or Greater Direct Ownership Interest Aug 14, 2018 5.81%

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 31

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 31

Affiliated clinicians 87

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 87

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1114928108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 N WEBB RD.",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268129",
            "telephone_number": "316-630-5000",
            "fax_number": "316-630-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 N WEBB RD.",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268129",
            "telephone_number": "316-630-5000",
            "fax_number": "316-630-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS HEART HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A",
        "authorized_official_last_name": "ASHCOM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "316-630-5000",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "KS",
            "license": "H087009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100340110A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.