Bounsavath Nola, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

04-24718 Issued in KS

Practice address

804 S Oliver Ave
Wichita, KS 67218-2329

Phone

(316) 689-6004

Fax

(316) 613-2934

NPI assigned

Sep 14, 2005

Last updated

Sep 29, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

University of Kansas School of Med (KC/Wich/Sal), 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Phoenix Home Care Home health agency, Wichita, KS, CCN 178012
• Ascension Via Christi Hospitals Wichita, Inc. Hospital, Wichita, KS, CCN 170122
• Wesley Medical Center Hospital, Wichita, KS, CCN 170123

Merit-based Incentive Payment System (MIPS)

Final score

22.87 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

76.24

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Bon Nola, M.D. , LLC

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1275715534
  Medicare reassignment NPD Authorized official
• Hospitalist Medicine Physicians of Texas, PLLC

  • Internal Medicine Physician
  • Humble, TX
  • NPI 1629307095

  KS

  Medicare reassignment
• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248
  Care Compare group
• Internal Medicine South

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1194717694
  NPD (past)
• Osteopractic Physical Therapy Clinic of Wichita LLC

  • Orthopedic Physical Therapist
  • Wichita, KS
  • NPI 1396493102
  NPD (past)
• Preferred Medical Associates

  dba Vcma Andover

  • Family Medicine Physician
  • Andover, KS
  • NPI 1235310376
  NPD (past)
• Preferred Medical Associates

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1417904194

  Internal Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ascension Via Christi Hospitals Wichita Inc.

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1154314789
  Care Compare affiliation
• Proactive Home Care, LLC

  dba Phoenix Home Care

  • Home Health Agency
  • Wichita, KS
  • NPI 1013979905
  Care Compare affiliation
• Wesley Medical Center LLC

  dba Wesley LifeWatch

  • Land Ambulance
  • Wichita, KS
  • NPI 1205760006

  Hospital

  Care Compare affiliation
• Wesley Medical Center LLC

  dba Wesley Medical Center

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1447299649
  Care Compare affiliation

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1356336515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 S OLIVER AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182329",
            "telephone_number": "316-689-6004",
            "fax_number": "316-613-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 S OLIVER AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182329",
            "telephone_number": "316-689-6004",
            "fax_number": "316-613-2934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLA",
        "first_name": "BOUNSAVATH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-24718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Denise Noble, RN
• Sarah M Noble, LCP
• Jennifer Rachelle Nofire, LSCSW
• Xinye Monica Noh, DDS
• Alisa Nola, O.D.
• Edward Nola, MD
• Linda Walim Nola, PHARMD
• Reine Nola, D.P.T.
• Sonny Nola
• Brenna Nolan, DPT

• Internal Medicine Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Internal Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.

Verify at the official NPI Registry.