Active NPI
Wendell Pastorfide Doronio, MD
- Diagnostic Radiology Physician
- Olathe, KS
National Provider Identifier
1336144203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 04-20886
- Practice address
- 20333 W 151St St
Olathe, KS 66061-5350 - Phone
- (913) 791-4291
- Fax
- (913) 791-4291
- NPI assigned
- Jun 16, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 04-20886 | KS | Primary |
| Diagnostic Radiology Physician | 2085R0202X | R5E30 | MO |
Addresses
Primary practice location
20333 W 151St St
Olathe, KS 66061-5350
Mailing address
5800 Foxridge Dr
Mission, KS 66202-2333
Phone (913) 261-3153
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202154910 | Medicaid | MO | |
| 100202390E | Medicaid | KS | |
| 100202390D | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-20886 | KS | MD | Diagnostic Radiology Physician |
| R5E30 | MO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Imaging Consultants, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Kansas City Imaging Center, LLC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Kansas City, KS
- NPI 1518900992
-
- Diagnostic Radiology Physician
- Lenexa, KS
- NPI 1588669766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277856000000",
"number": "1336144203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5800 FOXRIDGE DR",
"city": "MISSION",
"state": "KS",
"postal_code": "662022333",
"telephone_number": "913-261-3153",
"fax_number": "913-262-3295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20333 W 151ST ST",
"city": "OLATHE",
"state": "KS",
"postal_code": "660615350",
"telephone_number": "913-791-4291",
"fax_number": "913-791-4291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORONIO",
"first_name": "WENDELL",
"middle_name": "PASTORFIDE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2010-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KS",
"license": "04-20886",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "R5E30",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202154910",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100202390E",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100202390D",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.