Individual provider Active NPI

Kathryn A Welch, PA-C

  • Medical Physician Assistant
  • Wichita, KS
National Provider Identifier
1336142116
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
15-00659 Issued in KS
Practice address
220 S Hillside St Ste a
Wichita, KS 67211-2151
Phone
(316) 686-6866
Fax
(316) 686-9797
NPI assigned
May 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 15-00659 KS Primary

Addresses

Primary practice location

220 S Hillside St Ste a
Wichita, KS 67211-2151

Mailing address

220 S Hillside St Ste a
Wichita, KS 67211-2151
Phone (316) 686-6866

Other identifiers 2

IdentifierTypeStateIssuer
042558OtherKSBC/BS
100446140AMedicaidKS

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060927000455 KS Practitioner - Physician Assistant 2961407838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Subhash Shah MD PAGroup PAC ID 5496022303, 2 clinicians

Practice addresses (Care Compare)

Wichita, KS 67211
Phone (316) 686-6866

220 S Hillside St
Wichita, KS 67211-2150

220 S Hillside St
Suite a
Wichita, KS 67211-2151

Hospital & facility affiliations

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15-00659KSMDMedical Physician Assistant

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABJACA/Endpoint/ABJACA

Organizations & group practices 1

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1336142116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S HILLSIDE ST STE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672112151",
            "telephone_number": "316-686-6866",
            "fax_number": "316-686-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S HILLSIDE ST STE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672112151",
            "telephone_number": "316-686-6866",
            "fax_number": "316-686-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "KATHRYN",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "15-00659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "042558",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100446140A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.