Individual provider Active NPI

Tamara L McCue, D.O.

  • Family Medicine Physician
  • Wellington, KS
National Provider Identifier
1457339137
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05-24781 Issued in KS
Practice address
1323 N a St
Wellington, KS 67152-4350
Phone
(620) 440-8121
Fax
(620) 359-1201
NPI assigned
Jan 4, 2006
Last updated
Jun 26, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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 05-24781 KS Primary

Addresses

Primary practice location

1323 N a St
Wellington, KS 67152-4350

Mailing address

PO Box 755
Wellington, KS 67152-0755
Phone (620) 440-8121

Other identifiers 1

IdentifierTypeStateIssuer
100233060JMedicaidKS

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
I20040806000460 KS Practitioner - General Practice 8224000781 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Oklahoma State University College of Osteopathic Medicine, 1992
Medicare assignment
May accept Medicare assignment
Group practices
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians
Kansas Post Acute Medical Services 1 PAGroup PAC ID 1557634193, 58 clinicians
CS Pacs 3 Midwest LLCGroup PAC ID 4183164734, 36 clinicians

Practice addresses (Care Compare)

Wellington, KS 67152
Phone (620) 359-1201

102 W Botkin St
Wellington, KS 67152-2302
Phone (620) 326-7437

1320 Wheat Rd
Winfield, KS 67156-4704
Phone (620) 221-4660

17500 W 119TH St
Olathe, KS 66061-9524
Phone (913) 213-1686

3636 N Ridge Rd
400 Via Christi Village Ridge
Wichita, KS 67205-1221
Phone (316) 462-3636

719 N Klein Cir
Derby, KS 67037-7019
Phone (316) 260-4447

777 N McLean Blvd
Via Christi Village McLean Inc
Wichita, KS 67203-4980
Phone (316) 942-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.47 of 100Reported as individual
Quality
73.33
Improvement activities
40
Cost
83.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05-24781KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Complexcare Medical Group Kansas H LLC CurrentSince Dec 30, 2025 Accepting new patients
Kansas Post Acute Medical Services 1 PA CurrentSince Jul 15, 2019 Accepting new patients
NV Pacs 2 LLC CurrentSince Sep 1, 2021 Accepting new patients
Theoria Medical CurrentSince Aug 20, 2024 Accepting new patients
Long Term Care Specialists Family Medicine CurrentSince Feb 7, 2012 Accepting new patients
CS Pacs 3 Midwest LLC CurrentSince Aug 22, 2024 Accepting new patients
Liberal SNF Op Co LLC Past Accepting new patients
Diversicare of Haysville LLC Past Accepting new patients
Emergency Services of Kansas, PA Family Medicine Past Accepting new patients
Fairacres Manor, Inc Past Accepting new patients
Sumner Operator, LLC Past Accepting new patients
Andover Medical Investors, LLC Past Accepting new patients
Colby Operator, LLC Past Accepting new patients
Orchard Gardens, LLC Past Accepting new patients
Wichita Operator, LLC Past Accepting new patients
Villa Maria, Inc. Past Accepting new patients
Clearwater Living, LLC PastSince May 1, 2024 Accepting new patients
Cornerstone Assisted Living Inc. PastSince Dec 2, 2023 Accepting new patients
Winfield LTC Opco LLC Past Accepting new patients
Seville Operator, LLC Past Accepting new patients
Americare at Grand Plains Skilled Nursing and Rehabilitation LLC Past Accepting new patients
Larksfield Place Retirement Communities Inc Past Accepting new patients
Oswego Operator, LLC Past Accepting new patients
El Dorado Operator, LLC Past Accepting new patients
Anew Healthcare Operations - Oxford, LLC Past Accepting new patients
Fountainview Living, LLC Past Accepting new patients
Recover-Care Spring View Manor LLC Past Accepting new patients
The Evangelical Lutheran Good Samaritan Society Past Accepting new patients
Hutchinson Operator, LLC Past Accepting new patients
Garden Valley Retirement Village, LLC Past Accepting new patients
Wellington Operator, LLC Past Accepting new patients
Excel of Wichita LLC Past Accepting new patients
Peabody Operator, LLC Past Accepting new patients
Wichita SNF Healthcare LLC PastSince Jul 15, 2024 Accepting new patients
Via Christi Village McLean, Inc Past Accepting new patients

Locations

605 E Melvin St
Arma, KS 66712
Phone (620) 347-4103

1220 E 8th St
Galena, KS 66739
Phone (620) 679-0234

116 S Central Ave
Mulvane, KS 67110
Phone (316) 777-0977

17500 W 119th St
Olathe, KS 66061
Phone (913) 213-1686

601 E Main St
Pretty Prairie, KS 67570
Phone (620) 459-6822

102 W Botkin St
Wellington, KS 67152
Phone (620) 326-7434

1600 W 8th St
Wellington, KS 67152
Phone (620) 326-2232

3636 N Ridge Rd
Ste 400
Wichita, KS 67205
Phone (316) 462-3636

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

Ownership & related parties

All facility ownership & control disclosures 13

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Villa MariaMulvane, KS, CCN 175456 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
May 1, 2020
May 1, 2020
Life Care Center of AndoverAndover, KS, CCN 175157 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Aug 1, 2019
Mar 7, 2025
Good Samaritan Society - LiberalLiberal, KS, CCN 175334 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jul 1, 2024
Jul 1, 2024
Diversicare of HaysvilleHaysville, KS, CCN 175133 Skilled nursing facility Contracted Managing Employee
Adp of the SNF
Apr 1, 2021
Nov 25, 2024
Ascension Living Via Christi Village RidgeWichita, KS, CCN 175539 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Dec 2, 2023
Dec 2, 2023
Ascension Living Via Christi Village McLeanWichita, KS, CCN 175543 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Dec 1, 2023
Dec 1, 2023
Winfield Senior Living CommunityWinfield, KS, CCN 175327 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2025
Jan 1, 2025
Wheatridge Park Care CenterLiberal, KS, CCN 175459 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2025
Jan 1, 2025
Fountainview Nursing and Rehab CenterRose Hill, KS, CCN 175221 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
May 1, 2024
May 1, 2024
Clearwater Nursing and Rehab CenterClearwater, KS, CCN 175454 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
May 1, 2024
May 1, 2024
Spring View Manor Healthcare and Rehabilitation CenterConway Springs, KS, CCN 175504 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Feb 28, 2025
Feb 20, 2026
Great Plains Post AcuteWichita, KS, CCN 175168 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jul 15, 2024
Aug 19, 2025
Overland Park Post AcuteOverland Park, KS, CCN 175180 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jul 15, 2024
Dec 2, 2025

Owned or controlled facilities with NPI records 13

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 13

Organizations & group practices 35

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 35

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1457339137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 755",
            "city": "WELLINGTON",
            "state": "KS",
            "postal_code": "671520755",
            "telephone_number": "620-440-8121",
            "fax_number": "620-359-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 N A ST",
            "city": "WELLINGTON",
            "state": "KS",
            "postal_code": "671524350",
            "telephone_number": "620-440-8121",
            "fax_number": "620-359-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUE",
        "first_name": "TAMARA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-24781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100233060J",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, KS

Sources for this page

Verify at the official NPI Registry.