Individual provider Active NPI

Locke Uppendahl, MD

  • Obstetrics & Gynecology Physician
  • Wichita, KS
National Provider Identifier
1356606016
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
9407996 Issued in KS
Practice address
3232 E Murdock St
Wichita, KS 67208-3003
Phone
(316) 685-7234
NPI assigned
Jul 9, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 9407996 KS Primary

Addresses

Primary practice location

3232 E Murdock St
Wichita, KS 67208-3003

Mailing address

3232 E Murdock St
Wichita, KS 67208-3003
Phone (316) 685-7234

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190717002420 KS Practitioner - Obstetrics/GynecologyPractitioner - Gynecological Oncology 7810144680 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Gynecological Oncology
Education
University of Kansas School of Med (KC/Wich/Sal), 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wesley Physicians Medical Specialties LLCGroup PAC ID 1355509886, 50 clinicians
Associates in Womens Health PAGroup PAC ID 7214903814, 28 clinicians

Practice addresses (Care Compare)

2600 N Woodlawn Blvd
Wichita, KS 67220-2729
Phone (316) 260-1690

3232 E Murdock St
Wichita, KS 67208-3003
Phone (316) 685-7234

550 N Hillside Ave
Wesley Medical Center
Wichita, KS 67214-4910
Phone (316) 962-2000

550 N Hillside St
Wesley Picu
Wichita, KS 67214-4910
Phone (316) 962-2156

550 N Hillside St FL
5 Wesley Physicians Medical Special
Wichita, KS 67214-4910
Phone (316) 962-2156

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of the uterus49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wesley Physicians Medical Specialties LLC CurrentSince Aug 25, 2019 Accepting new patients
Associates in Womens Health PA Obstetrics & Gynecology CurrentSince Jul 1, 2019 Accepting new patients
Wesley Medical Center LLC Past Accepting new patients

Locations

2600 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 260-1690

8710 W 13th St N
Ste 100
Wichita, KS 67212
Phone (316) 722-5141

3232 E Murdock St
Wichita, KS 67208
Phone (316) 681-0251

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: locke.uppendahl.p1@direct.awhobgyn.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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 6

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": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1356606016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3232 E MURDOCK ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083003",
            "telephone_number": "316-685-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3232 E MURDOCK ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083003",
            "telephone_number": "316-685-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPPENDAHL",
        "first_name": "LOCKE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-09",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "9407996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.