Melissa Jane Conroy, DO
Individual provider Active NPI Pediatrics Physician · Wichita, KS
NPI 1437361979 · NPPES record last updated Apr 18, 2025
Key facts
- NPI
- 1437361979
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 05-32785 (KS)
- Practice address
- 8725 E 32ND St N
Wichita, KS 67226-4008 - Phone
- (316) 201-1202
- Fax
- (316) 201-1251
- NPI assigned
- May 4, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150511000520 | KS | Order and Referring Only - Pediatric Medicine |
7012192594 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-32785 | KS | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redbud Pediatrics LLC | Pediatrics | Current |
Accepting new patients |
| Pediatric Care Irrv Trust | Pediatrics | Past | Accepting new patients |
Locations
8725 E 32nd St N
Wichita, KS 67226
Phone (316) 201-1202
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 05-32785 | KS | Yes |
Addresses
Primary practice location
8725 E 32ND St N
Wichita, KS 67226-4008
Mailing address
8725 E 32ND St N
Wichita, KS 67226-4008
Phone (316) 201-1202
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200543160A | Medicaid | KS |
Other providers in Wichita, KS
- Rachel Marie Conrad
- Ralph Conrad
- Terese Conrad
- Andrew Conrady
- Peter Anthony Conrardy
- Savannah L Consolver
- Consumer Directed Services Inc.
- Consumer'S Pharmacy Inc
- Anais Contreras
- Molly Conyers
All providers in Wichita, KS · Pediatrics Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.