Individual provider Active NPI

Amanda M Valliant, MD

  • Nephrology Physician
  • Wichita, KS
National Provider Identifier
1609004316
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
04-34492 Issued in KS
Practice address
818 N Emporia St
Suite 310
Wichita, KS 67214-3729
Phone
(316) 263-5891
Fax
(316) 263-3083
NPI assigned
Jul 1, 2009
Last updated
Jun 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 04-34492 KS
Nephrology Physician 207RN0300X 04-34492 KS Primary

Addresses

Primary practice location

818 N Emporia St
Suite 310
Wichita, KS 67214-3729

Mailing address

818 N Emporia St
Suite 310
Wichita, KS 67214-3729
Phone (316) 263-5891

Other practice location 1

1000 Hospital Dr
McPherson, KS 67460-2326
Phone (620) 241-2251

Other practice location 2

415 N Main St
Ulysses, KS 67880-2133
Phone (620) 356-1266

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address michelle@wngpa.com
Direct Messaging Address michelle@wngpa.com
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
I20110408000681 KS Practitioner - Internal MedicinePractitioner - Nephrology 9830373240 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
University of Kansas School of Med (KC/Wich/Sal), 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wichita Nephrology Group PAGroup PAC ID 3375596174, shared by 2 NPIs, 12 clinicians

Practice addresses (Care Compare)

1635 Freedom St
Suite 100
Derby, KS 67037-7702
Phone (316) 788-2899

2610 N Woodlawn Blvd
Galichia Heart Hospital
Wichita, KS 67220-2729
Phone (316) 858-2610

2630 N Webb Rd
200 Vascular Center
Wichita, KS 67226-8174
Phone (316) 636-1234

320 N Hillside
Davita Dialysis
Wichita, KS 67214-4918
Phone (316) 684-3200

3600 E Harry St
Via Christi Hospital St Joseph
Wichita, KS 67218-3713
Phone (316) 268-5000

3904 6TH St
Great Bend, KS 67530-9775
Phone (620) 792-2944

800 W Myrtle
Davita Dialysis
Winfield, KS 67301-3239
Phone (800) 424-6589

818 N Emporia
Suite 310
Wichita, KS 67214
Phone (316) 263-5891

818 N Emporia St
Wichita, KS 67214-3727

929 N St Francis
Via Christi Hospitals Wichita Inc
Wichita, KS 67214-3821
Phone (316) 268-5000

929 N St Francis Room
5009 Select Specialty Hospital
Wichita, KS 67214-3821
Phone (318) 268-5593

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-34492KSMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita Nephrology Group, PA Nephrology CurrentSince Jun 23, 2020 Accepting new patients
Wichita Nephrology Group, PA CurrentSince Aug 1, 2015 Accepting new patients

Locations

401 E Spruce St
Garden City, KS 67846
Phone (620) 272-2222

600 Medical Center Dr
Newton, KS 67114
Phone (316) 283-2700

2122 N Garnett St
Wichita, KS 67206
Phone (316) 636-1234

818 N Emporia St
Ste 310
Wichita, KS 67214
Phone (316) 390-0332

Interoperability endpoints

  • Direct secure messaging: amanda.valliant@khindirect.org
  • Direct secure messaging: michelle@wngpa.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1609004316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 N EMPORIA ST",
            "address_2": "SUITE 310",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143729",
            "telephone_number": "316-263-5891",
            "fax_number": "316-263-3083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 N EMPORIA ST",
            "address_2": "SUITE 310",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143729",
            "telephone_number": "316-263-5891",
            "fax_number": "316-263-3083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "McPherson",
            "state": "KS",
            "postal_code": "674602326",
            "country_code": "US",
            "telephone_number": "620-241-2251",
            "fax_number": "620-798-2630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 N Main St",
            "address_purpose": "LOCATION",
            "city": "Ulysses",
            "state": "KS",
            "postal_code": "678802133",
            "country_code": "US",
            "telephone_number": "620-356-1266",
            "fax_number": "303-356-2302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALLIANT",
        "first_name": "AMANDA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-34492",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KS",
            "license": "04-34492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle@wngpa.com",
            "affiliation": "N",
            "address_1": "2122 N Garnett St",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672063023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle@wngpa.com",
            "affiliation": "N",
            "address_1": "818 N Emporia St",
            "address_2": "Suite 310",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672143729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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.