Active NPI
Andrew S Hentzen, MD
- Surgery Physician
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 04-37420
- Practice address
- 3243 E Murdock St Ste 404
Wichita, KS 67208-3007 - Phone
- (316) 685-6222
- NPI assigned
- Jun 20, 2008
- Last updated
- Oct 1, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 04-37420 | KS | Primary |
Addresses
Primary practice location
3243 E Murdock St Ste 404
Wichita, KS 67208-3007
Mailing address
3243 E Murdock St Ste 404
Wichita, KS 67208-3007
Phone (316) 685-6222
Other practice location 1
550 N Hillside St
Wichita, KS 67214-4910
Phone (316) 685-6222
Other practice location 2
9300 E 29th St N Ste 203
Wichita, KS 67226-2183
Phone (316) 685-6222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201110330 | Medicaid | KS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3243 E Murdock St
Suite 404
Wichita, KS 67208-3007
Phone (316) 685-6222
550 N Hillside St
Wichita, KS 67214-4910
Phone (316) 962-2239
Hospital & facility affiliations
- Wesley Medical Center
- Kansas Surgery & Recovery Center
- Susan B Allen Memorial Hospital
- NMC Health
- Centura St. Catherine-Dodge City
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 37 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 25 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 196 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas Surgical Consultants, LLP | Surgery | Current | Accepting new patients |
| Mid-Kansas Wound Specialist P a | Current | Accepting new patients | |
| Central Plains Cardiothoracic Surgery, LLC | Past | Accepting new patients | |
| Wesley Medical Center LLC | Past | Accepting new patients |
Locations
10346 E Stonegate Ln
Ste 100
Wichita, KS 67206
Phone (316) 871-0995
2610 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 684-3838
3243 E Murdock St
Ste 404
Wichita, KS 67208
Phone (316) 685-6222
3243 E Murdock St
Ste 4404
Wichita, KS 67208
550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239
929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396
9300 E 29th St N
Ste 203
Wichita, KS 67226
Phone (316) 219-9360
Interoperability endpoints
- andrewhentzen@ksc.allscriptsdirect.net
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.
-
- Surgery Physician
- Wichita, KS
- NPI 1215903976
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Wichita, KS
- NPI 1326076977
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Wichita, KS
- NPI 1124215900
-
dba Wesley Medical Center
- General Acute Care Hospital
- Wichita, KS
- NPI 1447299649
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Catherine Hospital - Dodge City
- General Acute Care Hospital
- Dodge City, KS
- NPI 1689317190
-
- General Acute Care Hospital
- Wichita, KS
- NPI 1306827878
-
- General Acute Care Hospital
- El Dorado, KS
- NPI 1700994977
-
dba Wesley Medical Center
- General Acute Care Hospital
- Wichita, KS
- NPI 1447299649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633046400000",
"number": "1306007430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3243 E MURDOCK ST STE 404",
"city": "WICHITA",
"state": "KS",
"postal_code": "672083007",
"telephone_number": "316-685-6222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3243 E MURDOCK ST STE 404",
"city": "WICHITA",
"state": "KS",
"postal_code": "672083007",
"telephone_number": "316-685-6222"
}
],
"practiceLocations": [
{
"address_1": "550 N Hillside St",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672144910",
"country_code": "US",
"telephone_number": "316-685-6222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9300 E 29th St N Ste 203",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672262183",
"country_code": "US",
"telephone_number": "316-685-6222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENTZEN",
"first_name": "ANDREW",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-20",
"last_updated": "2021-10-01",
"certification_date": "2021-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "KS",
"license": "04-37420",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201110330",
"state": "KS"
}
],
"endpoints": [],
"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 Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.