Individual provider Active NPI

Lani Bui, PA

  • Physician Assistant
  • Wichita, KS
National Provider Identifier
1174923056
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-01731 Issued in KS
Practice address
2716 W Central Ave
Wichita, KS 67203-4904
Phone
(316) 660-7300
Fax
(316) 660-1928
NPI assigned
Aug 28, 2014
Last updated
Sep 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-01731 KS Primary

Addresses

Primary practice location

2716 W Central Ave
Wichita, KS 67203-4904

Mailing address

934N Water St
Wichita, KS 67203-3838
Phone (316) 660-7600

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141210000651 KS Practitioner - Physician Assistant 4284956855 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15-01731KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
County of Sedgwick CurrentSince May 20, 2015 Accepting new patients
County of Sedgwick Past Accepting new patients

Locations

1900 E 9th St N
Wichita, KS 67214
Phone (316) 268-8391

271 W 3rd St N
Ste 600
Wichita, KS 67202

2716 W Central Ave
Wichita, KS 67203
Phone (316) 660-7300

Interoperability endpoints

  • Direct secure messaging: lani.bui.1@22779.direct.athenahealth.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1174923056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934N WATER ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033838",
            "telephone_number": "316-660-7600",
            "fax_number": "316-941-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 W CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034904",
            "telephone_number": "316-660-7300",
            "fax_number": "316-660-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUI",
        "first_name": "LANI",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.