Active NPI
Maisam Al Patty
- Internal Medicine Physician
- Wichita, KS
National Provider Identifier
1396239257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 94-09615
- Practice address
- 550 N Hillside St
Wichita, KS 67214-4910 - Phone
- (316) 293-1818
- NPI assigned
- Jun 14, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 94-09615 | KS | Primary |
Addresses
Primary practice location
550 N Hillside St
Wichita, KS 67214-4910
Mailing address
550 N Hillside St
Wichita, KS 67214-4910
Phone (316) 293-1818
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210610003305 | KS | Practitioner - Internal Medicine | 1951650662 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carepoint Hospital Medicine Kansas LLC
Practice addresses (Care Compare)
550 N Hillside St
Wichita, KS 67214-4910
Phone (316) 962-2000
Hospital & facility affiliations
- Phoenix Home Care & Hospice
- Wesley Medical Center
- William Newton Hospital
- Susan B Allen Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.04 of 100
- Quality
- 83.33
- Improvement activities
- 40
- Cost
- 76.35
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carepoint Hospital Medicine Kansas LLC | Current | Accepting new patients | |
| Wesley Medical Center LLC | Past | Accepting new patients |
Locations
550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239
2610 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 684-3838
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Wichita, KS
- NPI 1447299649
Hospital & facility affiliations 5
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": "1528934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626998400000",
"number": "1396239257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 N HILLSIDE ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672144910",
"telephone_number": "316-293-1818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 N HILLSIDE ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672144910",
"telephone_number": "316-293-1818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL PATTY",
"first_name": "MAISAM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-14",
"last_updated": "2021-07-23",
"certification_date": "2021-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KS",
"license": "94-09615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 23, 2021; 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.