Daly Al-Hadeethi
Individual provider Active NPI Internal Medicine Physician · Wichita, KS
NPI 1194253138 · NPPES record last updated Apr 25, 2022
Key facts
- NPI
- 1194253138
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 94-09274 (KS)
- Practice address
- 1010 N Kansas St
Wichita, KS 67214-3124 - Phone
- (316) 293-1818
- NPI assigned
- Jun 2, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Kansas School of Medicine Wichita Medical Practice Assoc
Practice addresses (Care Compare)
1010 N Kansas St
Wichita, KS 67214-3124
8533 E 32ND St N
Wichita, KS 67226-2611
Phone (316) 293-2622
Hospital & facility affiliations
- Wesley Medical Center
- Ascension Via Christi Hospitals Wichita, Inc.
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 17 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 52 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200820002523 | KS | Practitioner - Gastroenterology |
2567733892 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Kansas School of Medicine Wichita Medical Practice Assoc | Internal Medicine | Current |
Accepting new patients |
| P & C Consultant Services | Past | Accepting new patients |
Locations
8533 E 32nd St N
Wichita, KS 67226
Phone (316) 293-2622
550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239
1010 N Kansas St
Wichita, KS 67214
Phone (316) 293-2622
1010 N Kansas St
Ste 3054
Wichita, KS 67214
Phone (316) 293-2647
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DHAEDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 94-09274 | KS | Yes |
Addresses
Primary practice location
1010 N Kansas St
Wichita, KS 67214-3124
Mailing address
1010 N Kansas St
Wichita, KS 67214-3124
Phone (316) 293-1818
Other providers in Wichita, KS
- Ahmad Al Masry
- Fadi Jamil Odeh Al Muhaisen
- Maisam Al Patty
- Nader Al Souky
- Mohamad Khaled Al-Ahdab
- Ammar Al-Obaidi
- Ghiyath Al-Tabbal
- Peace Ojimaojo Alabi
- Tasneem Saleh Alaqzam
- Christian Bernard Bartolome Alarcon
All providers in Wichita, KS · Internal Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.