Individual provider Active NPI

Jesus E Val-Mejias, MD

  • Clinical Cardiac Electrophysiology Physician
  • Wichita, KS
National Provider Identifier
1497734982
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
04-20814 Issued in KS
Practice address
2600 N Woodlawn St
Wichita, KS 67220-2729
Phone
(316) 684-3838
Fax
(316) 858-2521
NPI assigned
Jan 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 04-20814 KS
Clinical Cardiac Electrophysiology Physician 207RC0001X 04-20814 KS Primary

Addresses

Primary practice location

2600 N Woodlawn St
Wichita, KS 67220-2729

Mailing address

2600 N Woodlawn St
Wichita, KS 67220-2729
Phone (316) 684-3838

Other identifiers 1

IdentifierTypeStateIssuer
100200970CMedicaidKS

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
I20041001000185 KS Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1658263132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Essential Health and Wellness LLCGroup PAC ID 1153604376, 2 clinicians

Practice addresses (Care Compare)

1001 N Buckner St
Derby, KS 67037-1824
Phone (316) 425-3337

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-20814KSMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Essential Health & Wellness LLC CurrentSince Aug 16, 2018 Accepting new patients
Pawnee Valley Community Hospital Inc Past Accepting new patients

Locations

1001 N Buckner St
Derby, KS 67037
Phone (316) 425-3337

Organizations & group practices 2

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": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305504000000",
    "number": "1497734982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N WOODLAWN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672202729",
            "telephone_number": "316-684-3838",
            "fax_number": "316-858-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N WOODLAWN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672202729",
            "telephone_number": "316-684-3838",
            "fax_number": "316-858-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAL-MEJIAS",
        "first_name": "JESUS",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2011-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "04-20814",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "KS",
            "license": "04-20814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100200970C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.