Jason A Hampl, M.D.
Individual provider Active NPI Family Medicine Physician · Wichita, KS
NPI 1669498010 · NPPES record last updated Apr 21, 2014
Key facts
- NPI
- 1669498010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 431029 (KS)
- Practice address
- 2600 N Woodlawn Blvd
Wichita, KS 67220-2729 - Phone
- (316) 684-3838
- Fax
- (316) 858-2527
- NPI assigned
- Jul 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 12
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select Rehabilitation, LLC
Kansas Medical Center LLC
Carepoint Emergency Medicine Kansas LLC
Practice addresses (Care Compare)
2600 Compass Rd
Glenview, IL 60026-8001
307 W Hwy 54 300
Flint Hills Medical Clinic
Andover, KS 67002-7849
Phone (316) 218-0008
550 N Hillside St
Wichita, KS 67214-4910
Phone (316) 962-2000
Hospital & facility affiliations
- Interim Healthcare of Wichita
- Ascension at Home
- Phoenix Home Care
- Interim Healthcare of Wichita Inc (Hospice)
- Phoenix Home Care & Hospice
- Specialized Home Care & Hospice
- Faith Hospice
- Wesley Medical Center
- Kansas Medical Center LLC
- Susan B Allen Memorial Hospital
- Ascension Via Christi Hospitals Wichita, Inc.
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.33 of 100
- Quality
- 59.78
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 73.83
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 14 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of skin lesions | 12 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Interim Health Care of Wichita Inc |
Hospice | W-2 Managing Employee | Jul 30, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050806000152 | KS | Practitioner - Family Practice |
8921037284 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0431029 | KS | MD | Emergency Medicine Physician |
| 431029 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas Medical Center, LLC | Current | Accepting new patients | |
| Carepoint Emergency Medicine Kansas LLC | Emergency Medicine | Current |
Accepting new patients |
| Kansas Medical Center LLC | Current | Accepting new patients | |
| Kansas Medical Center, LLC | Family Medicine | Current |
Accepting new patients |
| Kansas Medical Center, LLC | Current |
Accepting new patients | |
| Galichia Medical Group, P.a. | Family Medicine | Past | Accepting new patients |
| Community Memorial Healthcare, Inc. | Past | Accepting new patients | |
| Community Memorial Healthcare, Inc | Past | Accepting new patients | |
| Galichia Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Pawnee Valley Community Hospital Inc | Past | Accepting new patients | |
| Medical Specialties of Kansas, L.L.C. | Family Medicine | Past | Accepting new patients |
Locations
221 W US Highway 54
Andover, KS 67002
Phone (316) 962-5100
1124 W 21st St
Andover, KS 67002
Phone (316) 300-4000
307 W US Highway 54
Ste 300
Andover, KS 67002
Phone (316) 218-0008
2648 N Rock Rd
Derby, KS 67037
Phone (316) 962-2000
8714 W 13th St N
Wichita, KS 67212
Phone (316) 962-9900
550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239
2610 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 684-3838
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/cmhinc-a449abfd
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 431029 | KS | Yes |
| Emergency Medicine Physician | 207P00000X | 0431029 | KS |
Addresses
Primary practice location
2600 N Woodlawn Blvd
Wichita, KS 67220-2729
Mailing address
2600 N Woodlawn Blvd
Wichita, KS 67220-2729
Phone (316) 684-3838
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200335640A | Medicaid | KS | |
| 200335640F | Medicaid | KS | |
| 104658 | Other | KS | BC/BS |
| 200335640E | Medicaid | KS | |
| 927681 | Other | KS | FIRST GUARD |
Other providers in Wichita, KS
- Davante' Hammer
- Steve Hammer
- Billye R Hammond
- Lisa Marie Hammond
- Lyric Elizabeth Hammond
- Alec Joseph Hampton
- Amy R Hampton
- Brittany Hampton
- Faith Elizabeth Hampton
- Hancock Chiropractic PA
All providers in Wichita, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.