Active NPI
Angela Suzanne Holdeman, MD
- Obstetrics & Gynecology Physician
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 04-33512
- Practice address
- 550 N Hillside St
Wichita, KS 67214-4910 - Phone
- (316) 962-6818
- NPI assigned
- Jun 15, 2007
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 04-33512 | KS | Primary |
Addresses
Primary practice location
550 N Hillside St
Wichita, KS 67214-4910
Mailing address
3340 E Central Ave Ste 200
Wichita, KS 67208-3104
Phone (316) 962-6818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200733930A | Medicaid | KS |
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
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
550 N Hillside Ave
Wesley Medical Center
Wichita, KS 67214-4910
Phone (316) 962-2000
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.77 of 100
- Quality
- 77.19
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 72.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-33512 | KS | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wesley Physicians Medical Specialties LLC | Current | Accepting new patients | |
| Heartland Women'S Group at Wesley LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Wesley Medical Center LLC | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
3243 E Murdock St
Ste Lvl-G
Wichita, KS 67208
Phone (316) 962-3100
2600 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 260-1690
550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
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.
-
- Internal Medicine Physician
- Wichita, KS
- NPI 1699069732
-
- Obstetrics & Gynecology Physician
- Wichita, KS
- NPI 1568774297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557100800000",
"number": "1447455993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 E CENTRAL AVE STE 200",
"city": "WICHITA",
"state": "KS",
"postal_code": "672083104",
"telephone_number": "316-962-6818"
},
{
"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": "316-962-6818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLDEMAN",
"first_name": "ANGELA",
"middle_name": "SUZANNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-15",
"last_updated": "2019-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "KS",
"license": "04-33512",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200733930A",
"state": "KS"
}
],
"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 May 6, 2019; 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.