Individual provider Active NPI

Ricky W Friesen, M.D.

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1396757332
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0421902 Issued in KS
Practice address
8200 W Central Ave
Suite 1
Wichita, KS 67212-9503
Phone
(316) 722-6260
Fax
(316) 721-8307
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0421902 KS Primary

Addresses

Primary practice location

8200 W Central Ave
Suite 1
Wichita, KS 67212-9503

Mailing address

8200 W Central Ave
Suite 1
Wichita, KS 67212-9503
Phone (316) 722-6260

Other identifiers 3

IdentifierTypeStateIssuer
4652450OtherKSAETNA
102529OtherKSBLUE CROSS BLUE SHIELD
1433OtherKSPREFERRED HEALTH SYSTEMS

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
I20100708000532 KS Practitioner - Family Practice 4486735503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Wichita Family Physicians, P.a.Group PAC ID 5799745717, 37 clinicians

Practice addresses (Care Compare)

8200 W Central Ave
Suite 1
Wichita, KS 67212-3661
Phone (316) 721-4544

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0421902KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Wichita Family Physicians, P.a. Family Medicine CurrentSince Jan 1, 2003 Accepting new patients
West Wichita Family Physicians, P.a. Current Accepting new patients
West Wichita Family Physicians, P.a. Family Medicine Current Accepting new patients

Locations

8200 W Central Ave
Wichita, KS 67212
Phone (316) 491-6330

8200 W Central Ave
Ste 1
Wichita, KS 67212
Phone (316) 721-4544

8200 W Central Ave
Ste 4
Wichita, KS 67212
Phone (316) 721-4910

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJDEBA
  • Direct secure messaging: rick.friesen@wwfp.eclinicaldirectplus.com
  • Direct secure messaging: rick.friesen@khindirect.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396757332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 W CENTRAL AVE",
            "address_2": "SUITE 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672129503",
            "telephone_number": "316-722-6260",
            "fax_number": "316-721-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 W CENTRAL AVE",
            "address_2": "SUITE 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672129503",
            "telephone_number": "316-722-6260",
            "fax_number": "316-721-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIESEN",
        "first_name": "RICKY",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0421902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4652450",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "102529",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH SYSTEMS",
            "identifier": "1433",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.