NPIMap

Individual provider Active NPI

Elizabeth Jeanne Kroeker, M.D.

  • Internal Medicine Physician
  • Wichita, KS
National Provider Identifier
1669568531
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
04-29454 Issued in KS
Practice address
2600 N Woodlawn Blvd
Wichita, KS 67220-2729
Phone
(316) 260-1690
Fax
(316) 260-1691
NPI assigned
Oct 5, 2006
Last updated
Jan 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 04-29454 KS Primary

Addresses

Primary practice location

2600 N Woodlawn Blvd
Wichita, KS 67220-2729

Mailing address

2600 N Woodlawn Blvd
Wichita, KS 67220-2729
Phone (316) 260-1690

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
I20040629000273 KS Practitioner - Internal Medicine 0446236533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Wesley Physicians Medical Specialties LLCGroup PAC ID 1355509886, 50 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

2600 N Woodlawn Blvd
Wichita, KS 67220-2729
Phone (316) 260-1690

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.54 of 100Reported as individual
Quality
89.21
Promoting interoperability
100
Improvement activities
40
Cost
72.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-29454KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wesley Physicians Medical Specialties LLC Internal Medicine CurrentSince Nov 1, 2017 Accepting new patients
Albert P. Michelbach MD, P.a. Internal Medicine PastSince Jul 1, 2004 Accepting new patients

Locations

2600 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 260-1690

Interoperability endpoints

  • Direct secure messaging: e.kroeker@hca3.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1669568531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N WOODLAWN BLVD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672202729",
            "telephone_number": "316-260-1690",
            "fax_number": "316-260-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N WOODLAWN BLVD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672202729",
            "telephone_number": "316-260-1690",
            "fax_number": "316-260-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROEKER",
        "first_name": "ELIZABETH",
        "middle_name": "JEANNE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-29454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.