Individual provider Active NPI

Jason Wayne Rundell-Little, M.D.

  • Emergency Medicine Physician
  • Andover, KS
National Provider Identifier
1215988282
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
04-30969 Issued in KS
Practice address
1124 W 21St St
Andover, KS 67002-5500
Phone
(316) 300-4911
Fax
(316) 300-4940
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 04-30969 ME
Family Medicine Physician 207Q00000X 04-30969 KS
Emergency Medicine Physician 207P00000X 04-30969 KS Primary

Addresses

Primary practice location

1124 W 21St St
Andover, KS 67002-5500

Mailing address

2216 N. Williamsgate
Wichita, KS 67228-8064
Phone (316) 207-7220

Other names 1

  • Jason Wayne Rundell Former name

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
I20051013000501 KS Practitioner - Emergency MedicinePractitioner - Family Practice 4789609264 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carepoint Emergency Medicine Kansas LLCGroup PAC ID 9537440367, 79 clinicians

Practice addresses (Care Compare)

550 N Hillside St
Wichita, KS 67214-4910
Phone (316) 962-2000

Hospital & facility affiliations

  • Wesley Medical Center Hospital, Wichita, KS, CCN 170123

Merit-based Incentive Payment System (MIPS)

Final score
85.42 of 100Reported as group
Quality
79.94
Promoting interoperability
100
Improvement activities
40
Cost
71.45

Merit-based Incentive Payment System (MIPS)

Final score
79.33 of 100Reported as group
Quality
59.78
Promoting interoperability
97
Improvement activities
40
Cost
73.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-30969MEMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carepoint Emergency Medicine Kansas LLC Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Kansas Medical Center, LLC Family Medicine CurrentSince Oct 18, 2014 Accepting new patients
Kansas Medical Center, LLC CurrentSince Oct 18, 2014 Accepting new patients
Kansas Medical Center LLC Current Accepting new patients
Salina Regional Health Center, Inc. Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
Kansas Medical Center, LLC Current Accepting new patients
Salina Regional Health Center Inc CurrentSince May 1, 2024 Accepting new patients
Salina Regional Health Center, Inc Current Accepting new patients

Locations

221 W US Highway 54
Andover, KS 67002
Phone (316) 962-5100

1124 W 21st St
Andover, KS 67002
Phone (316) 300-4000

2648 N Rock Rd
Derby, KS 67037
Phone (316) 962-2000

315 W 15th St
Liberal, KS 67901
Phone (620) 624-1651

1000 Hospital Dr
McPherson, KS 67460
Phone (316) 241-2250

1000 Hospital Dr
#301
McPherson, KS 67460
Phone (620) 241-0917

400 S Santa Fe Ave
Salina, KS 67401
Phone (785) 452-6019

8714 W 13th St N
Wichita, KS 67212
Phone (316) 962-9900

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

2610 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 684-3838

Organizations & group practices 8

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 2

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1215988282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 N. WILLIAMSGATE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672288064",
            "telephone_number": "316-207-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 W 21ST ST",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670025500",
            "telephone_number": "316-300-4911",
            "fax_number": "316-300-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNDELL-LITTLE",
        "first_name": "JASON",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ME",
            "license": "04-30969",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-30969",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "04-30969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASON",
            "last_name": "RUNDELL",
            "middle_name": "WAYNE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Andover, KS

Sources for this page

Verify at the official NPI Registry.