Organization Active NPI

Kidz Cardiology, Inc

  • Pediatric Cardiology Physician
  • Wichita, KS
National Provider Identifier
1265913255
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
Legal business name
KIDZ CARDIOLOGY, INC
Practice address
10100 E Shannon Woods St Ste 108
Wichita, KS 67226-4104
Phone
(316) 282-3443
NPI assigned
Aug 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Authorized official

Name
Tuan NguyenNPI 1639339344
Title
President
Phone
(316) 680-4145

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0202X Primary

Addresses

Primary practice location

10100 E Shannon Woods St Ste 108
Wichita, KS 67226-4104

Mailing address

10100 E Shannon Woods St Ste 108
Wichita, KS 67226-4104
Phone (316) 282-3443

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tnguyen@kidzcardiology.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200804000894 KS Part B Supplier - Clinic/Group Practice 9032534334 Receives reassigned benefits from 2 practitioners
Practice locations: Chanute, KS; Arkansas City, KS; Wichita, KS; Salina, KS; Newton, KS; Hutchinson, KS; Pittsburg, KS

National Provider Directory

National Provider Directory

Locations

315 W 15th St
Ste 105
Liberal, KS 67901

10100 E Shannon Woods Cir
Ste 108
Wichita, KS 67226

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1265913255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 E SHANNON WOODS ST STE 108",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264104",
            "telephone_number": "316-282-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 E SHANNON WOODS ST STE 108",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264104",
            "telephone_number": "316-282-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZ CARDIOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-27",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-680-4145"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tnguyen@kidzcardiology.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10100 E Shannon Woods St Ste 108",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672264104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.