Blake C Veenis, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

04-24463 Issued in KS

Practice address

3515 W Central Ave
Wichita, KS 67203-4921

Phone

(316) 755-0144

Fax

(844) 274-1204

NPI assigned

Aug 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Physical Medicine and Rehabilitation

Education

University of Pittsburgh School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ascension Via Christi Hospitals Wichita IncGroup PAC ID 5799696944, 123 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20807/brand/4/csg/1/fhir/r4

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.

• Ascension Via Christi Hospitals Wichita Inc.

  dba Ascension Via Christi Physician Group

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1871589333
  Medicare reassignment Care Compare group NPD
• Wichita Rehabilitation Medicine PA

  • Physical Medicine & Rehabilitation Physician
  • Wichita, KS
  • NPI 1851405302
  Medicare reassignment NPD Authorized official
• Ascension Via Christi Hospitals Wichita Inc.

  dba Ascension Via Christi Critical Care Transport

  • Land Ambulance
  • Wichita, KS
  • NPI 1548097165
  NPD

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1386758910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 W CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034921",
            "telephone_number": "316-755-0144",
            "fax_number": "844-274-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 W CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034921",
            "telephone_number": "316-755-0144",
            "fax_number": "844-274-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEENIS",
        "first_name": "BLAKE",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KS",
            "license": "04-24463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100145000B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00230276",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon N Veach, CRNA
• Amber Lynn Veatch, RN
• Elesa Veatch
• Adam William Veenis, PT, DPT
• Andrea Jean Veenis, PT
• Nolan Andrew Veenis
• Glenn J Veenstra, PHD
• Sarah Veesart-Wright
• Beatriz Vega Rodriguez
• Azucena Vega-Monarrez, RN

• Physical Medicine & Rehabilitation Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Physical Medicine & Rehabilitation Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.