Individual provider Active NPI

Jason R Taylor, M.D.

  • Nephrology Physician
  • Wichita, KS
National Provider Identifier
1235136532
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0427594 Issued in KS
Practice address
1035 N Emporia St
Ste #105
Wichita, KS 67214-2944
Phone
(316) 263-7285
Fax
(316) 266-4682
NPI assigned
Jun 30, 2005
Last updated
Jul 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0427594 KS
Nephrology Physician 207RN0300X 0427594 KS Primary

Addresses

Primary practice location

1035 N Emporia St
Ste #105
Wichita, KS 67214-2944

Mailing address

1035 N Emporia St
Ste #105
Wichita, KS 67214-2944
Phone (316) 263-7285

Other identifiers 1

IdentifierTypeStateIssuer
100321950AMedicaidKS

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
I20050526000978 KS Practitioner - NephrologyPractitioner - Internal Medicine 0749247765 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Nephrology Physicians PA Nephrology CurrentSince Jul 1, 1998 Accepting new patients
Kansas Nephrology Physicians, P.a. Specialist Current Accepting new patients
Kansas Vascular Access Center LLC Specialist Past Accepting new patients
FMS Midwest Dialysis Centers, LLC PastSince May 18, 2006 Accepting new patients

Locations

701 W Central Ave
El Dorado, KS 67042
Phone (316) 321-1368

1035 N Emporia Ave
Ste 105
Wichita, KS 67214
Phone (316) 263-7285

1035 N Emporia Ave
Ste 155
Wichita, KS 67214
Phone (316) 263-7285

Interoperability endpoints

  • Direct secure messaging: jason.taylor.1@19248.direct.athenahealth.com

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, 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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1235136532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 N EMPORIA ST",
            "address_2": "STE #105",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142944",
            "telephone_number": "316-263-7285",
            "fax_number": "316-266-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 N EMPORIA ST",
            "address_2": "STE #105",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142944",
            "telephone_number": "316-263-7285",
            "fax_number": "316-266-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JASON",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KS",
            "license": "0427594",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KS",
            "license": "0427594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100321950A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.