NPIMap

Organization Active NPI

Kansas Gastroenterology LLC

  • Gastroenterology Physician
  • Wichita, KS
National Provider Identifier
1477547727
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
KANSAS GASTROENTEROLOGY LLC
Practice address
3121 N Webb Rd Ste 101
Wichita, KS 67226-8119
Phone
(316) 261-3130
Fax
(316) 261-3275
NPI assigned
Sep 1, 2005
Last updated
Aug 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Authorized official

Name
Dr. Estephan N Zayat, MDNPI 1558361261
Title
Managing Partner
Phone
(316) 261-3130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X KS Primary

Addresses

Primary practice location

3121 N Webb Rd Ste 101
Wichita, KS 67226-8119

Mailing address

3121 N Webb Rd Ste 101
Wichita, KS 67226-8119
Phone (316) 261-3130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040116000590 KS Part B Supplier - Clinic/Group Practice 1355242975 Receives reassigned benefits from 21 practitioners
Practice locations: Wichita, KS

National Provider Directory

National Provider Directory

Locations

3121 N Webb Rd
Wichita, KS 67226
Phone (316) 261-3130

3121 N Webb Rd
Ste 101
Wichita, KS 67226
Phone (316) 261-3130

Interoperability endpoints

  • FHIR API: https://e38455df-8137-43ad-9077-b36c0bc0745d.gastro.prod.fhir.ema-api.com/fhir/r4/

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1477547727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 N WEBB RD STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268119",
            "telephone_number": "316-261-3130",
            "fax_number": "316-261-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 N WEBB RD STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268119",
            "telephone_number": "316-261-3130",
            "fax_number": "316-261-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS GASTROENTEROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-01",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "ZAYAT",
        "authorized_official_first_name": "ESTEPHAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "316-261-3130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.