Active NPI
Kansas Gastroenterology LLC
- Gastroenterology Physician
- Wichita, KS
National Provider Identifier
1477547727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- 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
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Estephan N Zayat, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200253030A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040116000590 | KS | Part B Supplier - Clinic/Group Practice | 1355242975 |
Receives reassigned benefits from 21 practitioners Practice locations: Wichita, KS |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Wichita, KS
- NPI 1588912828
KS
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200253030A",
"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 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.