Individual provider Active NPI

Aruna Deepthi Markonda Patnaik, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Wichita, KS
National Provider Identifier
1568022598
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
0449194 Issued in KS
Practice address
3243 E Murdock St Ste 401
Wichita, KS 67208-3007
Phone
(316) 682-5544
Fax
(316) 682-9944
NPI assigned
Jun 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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 94-09904 KS
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 0449194 KS Primary

Addresses

Primary practice location

3243 E Murdock St Ste 401
Wichita, KS 67208-3007

Mailing address

3243 E Murdock St Ste 401
Wichita, KS 67208-3007
Phone (316) 682-5544

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
I20241113002596 KS Practitioner - Neurology 2860728524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurology Associates of Kansas LLCGroup PAC ID 3779775226, 7 clinicians

Practice addresses (Care Compare)

3243 E Murdock St
Suite 401
Wichita, KS 67208-3007
Phone (316) 682-5544

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
94-09904KSMDPediatrics Physician
0449194KSMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Women'S Group at Wesley LLC CurrentSince Sep 7, 2024 Accepting new patients
Neurology Associates of Kansas LLC CurrentSince Sep 7, 2024 Accepting new patients

Locations

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

3243 E Murdock St
Ste 401
Wichita, KS 67208
Phone (316) 682-5544

551 N Hillside St
Ste 350
Wichita, KS 67214
Phone (316) 682-5544

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

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": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1568022598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3243 E MURDOCK ST STE 401",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083007",
            "telephone_number": "316-682-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3243 E MURDOCK ST STE 401",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083007",
            "telephone_number": "316-682-5544",
            "fax_number": "316-682-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKONDA PATNAIK",
        "first_name": "ARUNA DEEPTHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "94-09904",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "KS",
            "license": "0449194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.