Individual provider Active NPI

Michael G Porter, MD

  • Colon & Rectal Surgery Physician
  • Wichita, KS
National Provider Identifier
1225036767
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
0421808 Issued in KS
Practice address
551 N Hillside St Ste 550
Wichita, KS 67214-4928
Phone
(316) 686-2911
Fax
(316) 682-0826
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 0421808 KS Primary

Addresses

Primary practice location

551 N Hillside St Ste 550
Wichita, KS 67214-4928

Mailing address

551 N Hillside St Ste 201
Wichita, KS 67214-4923
Phone (316) 263-0296

Other practice location 1

9350 E 35th St N Ste 103
Wichita, KS 67226-2022
Phone (316) 858-5000

Other identifiers 1

IdentifierTypeStateIssuer
100126470BMedicaidKS

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
I20050513000502 KS Practitioner - Colorectal Surgery (Proctology) 7911952320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
University of Kansas School of Med (KC/Wich/Sal), 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wichita Surgical Specialists PAGroup PAC ID 6507840634, 60 clinicians

Practice addresses (Care Compare)

818 N Emporia St
Suite 200
Wichita, KS 67214-3726
Phone (316) 263-0296

Hospital & facility affiliations

  • Wesley Medical Center Hospital, Wichita, KS, CCN 170123
  • Ascension Via Christi Hospitals Wichita, Inc. Hospital, Wichita, KS, CCN 170122
  • William Newton Hospital Hospital, Winfield, KS, CCN 171383
  • SCK Health Hospital, Arkansas City, KS, CCN 170779

Merit-based Incentive Payment System (MIPS)

Final score
81.47 of 100Reported as individual
Quality
77
Promoting interoperability
80
Improvement activities
40
Cost
77.91

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy213
Upper gastrointestinal (GI) endoscopy for acid reflux16
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0421808KSMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita Surgical Specialists PA Colon & Rectal Surgery CurrentSince Jan 1, 1995 Accepting new patients
Meritas Health Corporation PastSince Jan 1, 1995 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. Past Accepting new patients
Wesley Medical Center LLC Past Accepting new patients

Locations

551 N Hillside St
Ste 201
Wichita, KS 67214
Phone (316) 263-0296

9350 E 35th St N
Ste 103
Wichita, KS 67226
Phone (316) 858-5000

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

551 N Hillside St
Ste 550
Wichita, KS 67214
Phone (316) 682-2911

818 N Emporia St
Ste 200
Wichita, KS 67214
Phone (316) 263-0296

Interoperability endpoints

  • Direct secure messaging: michael.porter@khindirect.org

Organizations & group practices 4

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 5

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1225036767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 N HILLSIDE ST STE 201",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144923",
            "telephone_number": "316-263-0296",
            "fax_number": "316-263-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 N HILLSIDE ST STE 550",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144928",
            "telephone_number": "316-686-2911",
            "fax_number": "316-682-0826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9350 E 35th St N Ste 103",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672262022",
            "country_code": "US",
            "telephone_number": "316-858-5000",
            "fax_number": "316-858-1026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "KS",
            "license": "0421808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100126470B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.