Individual provider Active NPI

J Elizabeth Heflin, MD

  • Pediatrics Physician
  • Wichita, KS
National Provider Identifier
1124063755
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
28309 Issued in KS
Practice address
848 N Saint Francis St Ste 3901
Wichita, KS 67214
Phone
(316) 268-5000
NPI assigned
Jun 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 28309 KS Primary

Addresses

Primary practice location

848 N Saint Francis St Ste 3901
Wichita, KS 67214

Mailing address

PO Box 8035
Wichita, KS 67208-0035
Phone (316) 689-9135

Other identifiers 6

IdentifierTypeStateIssuer
9624OtherKSPHS
102903OtherKSHPK
12084117OtherKSMULTIPLAN
80767OtherKSCOVENTRY
100835OtherKSBCBS
100389890AMedicaidKS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120119000851 KS Practitioner - Pediatric Medicine 9739390428 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28309KSMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group Via Christi, PA CurrentSince Nov 21, 2011 Accepting new patients
University of Kansas School of Medicine Wichita Medical Practice Assoc Pediatrics CurrentSince Mar 1, 2024 Accepting new patients
Ascension Medical Group Via Christi, PA CurrentSince Nov 21, 2011 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. Past Accepting new patients
Wesley Medical Center LLC Past Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. Past Accepting new patients

Locations

1010 N Kansas St
Wichita, KS 67214
Phone (316) 293-2622

3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426

550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

1010 N Kansas St
Ste 3054
Wichita, KS 67214
Phone (316) 293-2647

3311 E Murdock St
Wichita, KS 67208
Phone (316) 689-9107

1100 N Saint Francis Ave
Ste 400
Wichita, KS 67214

848 N Saint Francis Ave
Ste 3901
Wichita, KS 67214
Phone (316) 268-7030

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1124063755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8035",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672080035",
            "telephone_number": "316-689-9135",
            "fax_number": "316-689-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 N SAINT FRANCIS ST STE 3901",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67214",
            "telephone_number": "316-268-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFLIN",
        "first_name": "J",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "28309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHS",
            "identifier": "9624",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPK",
            "identifier": "102903",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "12084117",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "80767",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "100835",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100389890A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.