NPIMap

Individual provider Active NPI

Maurice L Duggins, MD

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1659376705
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0425197 Issued in KS
Practice address
1121 S Clifton Ave
Wichita, KS 67218-2912
Phone
(316) 689-5500
Fax
(316) 691-6719
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0425197 KS Primary

Addresses

Primary practice location

1121 S Clifton Ave
Wichita, KS 67218-2912

Mailing address

PO Box 1897
Wichita, KS 67201-1897
Phone (316) 268-8131

Other identifiers 1

IdentifierTypeStateIssuer
100280510CMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050607001079 KS Practitioner - Family Practice 2567405822 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0425197KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Via Christi Hospitals Wichita Inc. CurrentSince Nov 1, 2009 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. Family Medicine CurrentSince Nov 1, 2009 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. Past Accepting new patients
Via Christi Regional Medical Center Past Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. Past Accepting new patients
Via Christi Immediate Care, Mother Mary Anne Inc. Past Accepting new patients
Via Christi Hospitals Wichita, Inc Family Medicine Past Accepting new patients

Locations

707 N Emporia St
Wichita, KS 67214
Phone (316) 858-3460

1100 N Saint Francis Ave
Fl 4
Wichita, KS 67214
Phone (316) 268-8080

1121 S Clifton Ave
Wichita, KS 67218
Phone (316) 689-5500

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20807/brand/4/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ascension Via Christi Hospitals Wichita IncWichita, KS, CCN 170122 Hospital Corporate Director Jul 1, 2018
Ascension Via Christi Hospitals Wichita IncWichita, KS, CCN 17S122 Hospital Corporate Director Jul 1, 2018
Ascension Via Christi Hospital St Teresa Inc.Wichita, KS, CCN 170200 Hospital Corporate Director Jul 1, 2018

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1659376705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1897",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672011897",
            "telephone_number": "316-268-8131",
            "fax_number": "316-291-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 S CLIFTON AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182912",
            "telephone_number": "316-689-5500",
            "fax_number": "316-691-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGGINS",
        "first_name": "MAURICE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0425197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100280510C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.