Active NPI
Charlene C Bui, PA
- Family Medicine Physician
- Wichita, KS
National Provider Identifier
1144258484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 15-00989
- Practice address
- 7111 E 21St Street N
Suite a
Wichita, KS 67206 - Phone
- (316) 684-2851
- Fax
- (316) 686-7338
- NPI assigned
- Jun 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 15-00989 | KS | Primary |
Addresses
Primary practice location
7111 E 21St Street N
Suite a
Wichita, KS 67206
Mailing address
7111 E 21St Street N
Suite a
Wichita, KS 67206
Phone (316) 684-2851
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200267110A | Medicaid | KS | |
| 100416440A | Medicaid | KS | |
| 426765 | Other | KS | BCBS INDIVIDUAL |
| 110718 | Other | KS | BCBS GROUP |
| 482630 | Medicaid | KS | |
| 481252306 | Other | KS | TRICARE WPS |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7111 E 21St St N
Suite a
Wichita, KS 67206-1078
Phone (316) 684-2851
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15-00989 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Services, PA | Past | Accepting new patients |
Interoperability endpoints
- charlene.bui.1@3862.direct.athenahealth.com
- charlene.bui@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 and National Provider Directory roles.
-
- Family Medicine Physician
- Wichita, KS
- NPI 1003832403
-
- Emergency Medicine Physician
- Wichita, KS
- NPI 1629028881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350432000000",
"number": "1144258484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7111 E 21ST STREET N",
"address_2": "SUITE A",
"city": "WICHITA",
"state": "KS",
"postal_code": "67206",
"telephone_number": "316-684-2851",
"fax_number": "316-686-7338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7111 E 21ST STREET N",
"address_2": "SUITE A",
"city": "WICHITA",
"state": "KS",
"postal_code": "67206",
"telephone_number": "316-684-2851",
"fax_number": "316-686-7338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUI",
"first_name": "CHARLENE",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-28",
"last_updated": "2012-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "15-00989",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200267110A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100416440A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL",
"identifier": "426765",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "110718",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "482630",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE WPS",
"identifier": "481252306",
"state": "KS"
}
],
"endpoints": [],
"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 Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.