NPIMap

Individual provider Active NPI

Husam Bakdash, MD

  • Cardiovascular Disease Physician
  • Wichita, KS
National Provider Identifier
1376500785
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
04-30800 Issued in KS
Practice address
3535 N Webb Rd
Wichita, KS 67226-8127
Phone
(316) 686-5300
Fax
(316) 651-2660
NPI assigned
Apr 28, 2006
Last updated
Jan 31, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 04-30800 KS
Nuclear Cardiology Physician 207UN0901X 04-30800 KS
Cardiovascular Disease Physician 207RC0000X 04-30800 KS Primary

Addresses

Primary practice location

3535 N Webb Rd
Wichita, KS 67226-8127

Mailing address

3535 N Webb Rd
Wichita, KS 67226-8127
Phone (316) 686-5300

Other identifiers 6

IdentifierTypeStateIssuer
20037310AMedicaidOK
016883002OtherKSBLUE CROSS BLUE SHIELD
200268820RMedicaidKS
P00163976OtherKSRRMC
200268820LMedicaidKS
KA3651013OtherKSMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040827000982 KS Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7911972575 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heartland Cardiology, LLCGroup PAC ID 1254646789, shared by 2 NPIs, 27 clinicians

Practice addresses (Care Compare)

3535 N Webb Rd
Wichita, KS 67226-8127
Phone (316) 686-5300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.87 of 100Reported as group
Quality
77.51
Promoting interoperability
98
Improvement activities
40
Cost
77.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-30800KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Cardiology, LLC CurrentSince Jul 11, 2015 Accepting new patients
Heartland Cardiology, LLC Internal Medicine CurrentSince Jul 11, 2015 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. CurrentSince Dec 1, 2004 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. CurrentSince Dec 1, 2004 Accepting new patients
Wesley Medical Center LLC Past Accepting new patients
Metro Heart Group of St. Louis, Inc. Past Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. Internal Medicine Past Accepting new patients

Locations

1719 E Cambridge St
Ste 101
Derby, KS 67037
Phone (316) 686-5300

720 W Central Ave
El Dorado, KS 67042
Phone (316) 321-3000

1525 N Main St
Newton, KS 67114
Phone (316) 686-5300

3535 N Webb Rd
Wichita, KS 67226
Phone (316) 260-4491

3555 N Webb Rd
Ste A
Wichita, KS 67226
Phone (316) 351-5934

550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239

551 N Hillside St
Ste 410
Wichita, KS 67214
Phone (316) 686-5300

9000 W Central Ave
Wichita, KS 67212
Phone (316) 686-5300

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20807/brand/4/csg/1/fhir/r4
  • Direct secure messaging: husam.bakdash@ushv.eclinicaldirectplus.com

Organizations & group practices 7

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.

Hospital & facility affiliations 7

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1376500785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268127",
            "telephone_number": "316-686-5300",
            "fax_number": "316-651-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268127",
            "telephone_number": "316-686-5300",
            "fax_number": "316-651-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKDASH",
        "first_name": "HUSAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-30800",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "KS",
            "license": "04-30800",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "04-30800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20037310A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "016883002",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200268820R",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "P00163976",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200268820L",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "KA3651013",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.