Individual provider Active NPI

Deshanett Clay, MD

  • Internal Medicine Physician
  • Wichita, KS
National Provider Identifier
1558891358
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
04-44876 Issued in KS
Practice address
4723 E Douglas Ave
Wichita, KS 67218-1012
Phone
(316) 670-3800
NPI assigned
Jun 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 04-44876 KS
Internal Medicine Physician 207R00000X 04-44876 KS Primary

Addresses

Primary practice location

4723 E Douglas Ave
Wichita, KS 67218-1012

Mailing address

4723 E Douglas Ave
Wichita, KS 67218-1012
Phone (316) 670-3800

Other practice location 1

1000 Hospital Dr
McPherson, KS 67460-2326
Phone (620) 241-2250

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address scc-direct@mcpmedsurg.hin.us

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
I20210831000807 KS Practitioner - Internal MedicinePractitioner - Pediatric Medicine 0749551067 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8533 E 32ND St N
Wichita, KS 67226-2611
Phone (316) 293-2622

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-44876KSMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vigilias LLC Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
Newman Memorial County Hospital CurrentSince Mar 1, 2022 Accepting new patients
Newman Memorial County Hospital Pediatrics Current Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Sep 8, 2022 Accepting new patients
Wesley Physicians Medical Specialties LLC Internal Medicine CurrentSince Oct 3, 2022 Accepting new patients
University of Kansas School of Medicine Wichita Medical Practice Assoc Internal Medicine CurrentSince Sep 19, 2022 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Sep 8, 2022 Accepting new patients
Kansas Physicians Group, LLC Past Accepting new patients

Locations

6401 Patterson Pkwy
Arkansas City, KS 67005
Phone (620) 441-5798

1301 W 12th Ave
Ste 301
Emporia, KS 66801
Phone (620) 343-2376

1201 W 12th Ave
Emporia, KS 66801
Phone (620) 343-2376

1000 Hospital Dr
McPherson, KS 67460
Phone (316) 241-2250

1000 Hospital Dr
#301
McPherson, KS 67460
Phone (620) 241-0917

20333 W 151st St
Olathe, KS 66061
Phone (888) 960-1393

1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310

2600 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 260-1690

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

4723 E Douglas Ave
Wichita, KS 67218
Phone (316) 670-3800

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

8533 E 32nd St N
Wichita, KS 67226
Phone (316) 293-2622

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

620 N Carriage Pkwy
Wichita, KS 67208
Phone (316) 962-3100

Interoperability endpoints

  • Direct secure messaging: deshanett.clay.1@18308.direct.athenahealth.com
  • Direct secure messaging: deshanett.clay@hca3.eclinicaldirectplus.com

Organizations & group practices 8

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": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1558891358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4723 E DOUGLAS AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672181012",
            "telephone_number": "316-670-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4723 E DOUGLAS AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672181012",
            "telephone_number": "316-670-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "McPherson",
            "state": "KS",
            "postal_code": "674602326",
            "country_code": "US",
            "telephone_number": "620-241-2250",
            "fax_number": "620-798-2630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAY",
        "first_name": "DESHANETT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "04-44876",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-44876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scc-direct@mcpmedsurg.hin.us",
            "affiliation": "N",
            "address_1": "1000 Hospital Dr",
            "city": "McPherson",
            "state": "KS",
            "country_code": "US",
            "postal_code": "674602326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.