Individual provider Active NPI

Lana N. Hattar, M.D.

  • Pediatric Gastroenterology Physician
  • Wichita, KS
National Provider Identifier
1437368263
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
04-34156 Issued in KS
Practice address
848 N St Francis St Ste 3901
Wichita, KS 67214-3858
Phone
(316) 268-8040
Fax
(316) 291-4880
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X 04-34156 KS Primary

Addresses

Primary practice location

848 N St Francis St Ste 3901
Wichita, KS 67214-3858

Mailing address

848 N St Francis St Ste 3901
Wichita, KS 67214-3858
Phone (316) 268-8040

Other identifiers 1

IdentifierTypeStateIssuer
200655450EMedicaidKS

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
I20100803000285 KS Practitioner - Pediatric MedicinePractitioner - Gastroenterology 9234262882 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-34156KSMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group Via Christi, PA CurrentSince Oct 1, 2012 Accepting new patients
Ascension Medical Group Via Christi, PA CurrentSince Oct 1, 2012 Accepting new patients
Ascension Medical Group Via Christi, PA Past Accepting new patients

Locations

1947 N Founders Cir
Wichita, KS 67206
Phone (316) 613-4640

848 N Saint Francis Ave
Ste 3901
Wichita, KS 67214
Phone (316) 268-7030

818 N Emporia St
Ste 107
Wichita, KS 67214
Phone (316) 263-0296

3311 E Murdock St
Wichita, KS 67208
Phone (316) 689-9107

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1437368263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 N ST FRANCIS ST STE 3901",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143858",
            "telephone_number": "316-268-8040",
            "fax_number": "316-291-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 N ST FRANCIS ST STE 3901",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143858",
            "telephone_number": "316-268-8040",
            "fax_number": "316-291-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATTAR",
        "first_name": "LANA",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "KS",
            "license": "04-34156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200655450E",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.