Individual provider Active NPI

Marjorie Mae Wongskhaluang, M.D.

  • Infectious Disease Physician
  • Leawood, KS
National Provider Identifier
1578797049
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
04-37750 Issued in KS
Practice address
4801 College Blvd FL 2
Leawood, KS 66211-1628
Phone
(913) 721-3387
Fax
(816) 875-2597
NPI assigned
May 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 04-37750 KS Primary
Internal Medicine Physician 207R00000X 04-37750 KS
Infectious Disease Physician 207RI0200X 2014015768 MO
Internal Medicine Physician 207R00000X 2014015768 MO

Addresses

Primary practice location

4801 College Blvd FL 2
Leawood, KS 66211-1628

Mailing address

5101 College Blvd
Leawood, KS 66211-1614
Phone (913) 721-3387

Other practice location 1

4550 W 109th St Ste 200
Overland Park, KS 66211-1354
Phone (913) 721-3387

Other names 1

  • Marjorie Mae Conant Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Marjorie.Wongskhaluang.1@12752direct.athenahealth.com Direct
Direct Messaging Address Marjorie.Wongskhaluang.1@12752direct.athenahealth.com Direct

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
I20150723008075 KS Practitioner - Infectious Disease 3678791001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ascentist Physicians Group LLCGroup PAC ID 9335143759, 111 clinicians

Practice addresses (Care Compare)

4901 College Blvd
Leawood, KS 66211-1602
Phone (913) 721-3387

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
72.61
Promoting interoperability
100
Improvement activities
30

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-37750KSMDInternal Medicine Physician
2014015768MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascentist Physicians Group, LLC Infectious Disease CurrentSince Dec 20, 2022 Accepting new patients
Doctors Hospital, LLC Past Accepting new patients
Digestive Health Specialists, LLC Past Accepting new patients

Locations

2300 Hutton Rd
Ste 106
Kansas City, KS 66109
Phone (913) 728-0386

4801 College Blvd
Fl 2
Leawood, KS 66211

4901 College Blvd
Leawood, KS 66211
Phone (816) 836-2200

4550 W 109th St
Ste 200
Overland Park, KS 66211
Phone 9137213387 ext. 13387

5101 College Blvd
Overland Park, KS 66211

5701 W 119th St
Ste 325
Overland Park, KS 66209
Phone (816) 531-2740

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

4801 College Blvd
Shawnee Msn, KS 66211
Phone (913) 491-6451

1600 N 2nd St
Clinton, MO 64735
Phone (660) 885-8171

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/doct-48e85447
  • Direct secure messaging: marjorie.wongskhaluang.1@12752.direct.athenahealth.com
  • Direct secure messaging: marjorie.wongskhaluang.1@12752direct.athenahealth.com

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1578797049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 COLLEGE BLVD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111614",
            "telephone_number": "913-721-3387",
            "fax_number": "816-875-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 COLLEGE BLVD FL 2",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111628",
            "telephone_number": "913-721-3387",
            "fax_number": "816-875-2597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4550 W 109th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662111354",
            "country_code": "US",
            "telephone_number": "913-721-3387",
            "fax_number": "816-875-2597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONGSKHALUANG",
        "first_name": "MARJORIE",
        "middle_name": "MAE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-12",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "KS",
            "license": "04-37750",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-37750",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MO",
            "license": "2014015768",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2014015768",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Marjorie.Wongskhaluang.1@12752direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "EHR Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4550 W 109th St Ste 200",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662111354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Marjorie.Wongskhaluang.1@12752direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "EHR Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4801 College Blvd Fl 2",
            "city": "Leawood",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662111628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARJORIE",
            "last_name": "CONANT",
            "middle_name": "MAE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Leawood, KS

Sources for this page

Verify at the official NPI Registry.