Lillian Rojo Blue, MD – Pediatrics Physician

Key facts

NPI: 1508907429
Entity type: Individual (NPI type 1)
Primary specialty: Pediatrics Physician 208000000X
License: 04-32441 (KS)
Practice address: 550 N Hillside St BLDG 16TH
Ku Wichita Pediatrics
Wichita, KS 67214-4910
Phone: (316) 962-7422
Fax: (316) 962-7805
NPI assigned: Feb 12, 2007
Sex: Female
Sole proprietor: No

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.

University of Kansas School of Medicine Wichita Medical Practice Assoc Internal Medicine Physician · Wichita, KS · NPI 1639143712

Medicare reassignment NPD KS · PEDIATRICS
Wesley Pathology Consultants PA Clinical Pathology/Laboratory Medicine Physician · Wichita, KS · NPI 1770568263

NPD
Wesley Medical Center LLC General Acute Care Hospital · Wichita, KS · NPI 1447299649

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Enrolled in KS
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20070822000233	KS	Practitioner - Pediatric Medicine	0042302481	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
04-32441	KS	MD	Pediatrics Physician

Practice roles

Organization	Specialty	Status	New patients
Wesley Pathology Consultants PA		Current	Accepting new patients
University of Kansas School of Medicine Wichita Medical Practice Assoc	Pediatrics	Current since Mar 15, 2018	Accepting new patients
Wesley Medical Center LLC		Past	Accepting new patients

Locations

550 N Hillside St
Bldg 16TH
Wichita, KS 67214
Phone (316) 962-7422

550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239

1010 N Kansas St
Wichita, KS 67214
Phone (316) 293-2622

3243 E Murdock St
Ste Lvl-A
Wichita, KS 67208
Phone (316) 688-3150

3243 E Murdock St
Ste Lvl-G
Wichita, KS 67208
Phone (316) 962-3100

1010 N Kansas St
Ste 3054
Wichita, KS 67214
Phone (316) 293-2647

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pediatrics Physician	208000000X	04-32441	KS	Yes

Addresses

Primary practice location

550 N Hillside St BLDG 16TH
Ku Wichita Pediatrics
Wichita, KS 67214-4910

Mailing address

550 N Hillside St BLDG 16TH
Ku Wichita Pediatrics
Wichita, KS 67214-4910
Phone (316) 962-7422

Other providers in Wichita, KS

Elizabeth Ann Blubaugh, LCMFT
Blue Heron Therapy LLC
Blue Moon Therapy LLC
Blue Sky Primary Care PA
Christopher R Blue, MD
Bluechip Spine & Sports Specialists, LLC
Bluestem Acupuncture Clinic of Kansas LLC
Richard Matthew Blumenshine, PHARMD
Patricia J Bluml, ARNP
Jaclyn Blyholder, D.M.D.

All providers in Wichita, KS · Pediatrics Physician in Kansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2014. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.