Individual provider Active NPI

Rami Mortada, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Wichita, KS
National Provider Identifier
1174720205
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
04-35481 Issued in KS
Practice address
9300 E 29TH St N Ste 204
Wichita, KS 67226-2183
Phone
(316) 500-6000
Fax
(888) 698-4752
NPI assigned
Jul 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 04-35481 KS Primary

Addresses

Primary practice location

9300 E 29TH St N Ste 204
Wichita, KS 67226-2183

Mailing address

9300 E 29TH St N Ste 204
Wichita, KS 67226-2183
Phone (316) 500-6000

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
I20120618000677 KS Practitioner - EndocrinologyPractitioner - Internal Medicine 1052445319 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endocrine Center of Kansas LLCGroup PAC ID 0941571327, 5 clinicians

Practice addresses (Care Compare)

9300 E 29TH St N
Suite 204
Wichita, KS 67226-2183
Phone (316) 500-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.05 of 100Reported as individual
Quality
74.38
Promoting interoperability
100
Improvement activities
40
Cost
69.11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Endocrine Center of Kansas, LLC Endocrinology, Diabetes & Metabolism CurrentSince Aug 11, 2017 Accepting new patients
University of Kansas School of Medicine Wichita Medical Practice Assoc CurrentSince Jul 1, 2012 Accepting new patients

Locations

9300 E 29th St N
Ste 204
Wichita, KS 67226
Phone (316) 500-6000

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

8533 E 32nd St N
Wichita, KS 67226
Phone (316) 293-2622

Interoperability endpoints

  • Direct secure messaging: rami.mortada.1@16181.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16181/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 6

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": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1174720205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 E 29TH ST N STE 204",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262183",
            "telephone_number": "316-500-6000",
            "fax_number": "888-698-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 E 29TH ST N STE 204",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262183",
            "telephone_number": "316-500-6000",
            "fax_number": "888-698-4752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTADA",
        "first_name": "RAMI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "KS",
            "license": "04-35481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.