Organization Active NPI

Kansas Diabetes and Endocrinology Center LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Wichita, KS
National Provider Identifier
1386111649
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
KANSAS DIABETES AND ENDOCRINOLOGY CENTER LLC
Practice address
3161 N Webb Rd
Suite 200
Wichita, KS 67226
Phone
(316) 350-5455
NPI assigned
Oct 25, 2018
Last updated
Mar 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Authorized official

Name
Dany H Zayour, MDNPI 1952523276
Title
Physician and Owner
Phone
(316) 350-5455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Endocrinology, Diabetes & Metabolism Physician 207RE0101X Primary

Addresses

Primary practice location

3161 N Webb Rd
Suite 200
Wichita, KS 67226

Mailing address

3161 N Webb Rd
Suite 200
Wichita, KS 67226
Phone (316) 350-5455

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kansasdec@protronmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181201000319 KS Part B Supplier - Clinic/Group Practice 8628312600 Receives reassigned benefits from 4 practitioners
Practice locations: Wichita, KS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2161824Kansas Diabetes and Endocrinology Center3161 N Webb Rd Suite 200, Wichita, KS 67226Certificate of waiverFeb 11, 2027

National Provider Directory

National Provider Directory

Locations

3161 N Webb Rd
Ste 200
Wichita, KS 67226
Phone (316) 350-5455

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18633/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1386111649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 N WEBB RD",
            "address_2": "SUITE 200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67226",
            "telephone_number": "316-350-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 N WEBB RD",
            "address_2": "SUITE 200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67226",
            "telephone_number": "316-350-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS DIABETES AND ENDOCRINOLOGY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "ZAYOUR",
        "authorized_official_first_name": "DANY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN AND OWNER",
        "authorized_official_telephone_number": "316-350-5455",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kansasdec@protronmail.com",
            "affiliation": "N",
            "address_1": "3161 N Webb Rd",
            "address_2": "Suite 200",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "67226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.