Madalyn Unruh, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

15-01645 Issued in KS

Practice address

3121 N Webb Rd Ste 101
Wichita, KS 67226-8119

Phone

(316) 261-3130

Fax

(316) 261-3275

NPI assigned

Sep 19, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kansas Gastroenterology LLCGroup PAC ID 1355242975, 20 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: madalyn.unruh@khindirect.org
• Direct secure messaging: madalynunruh@ksgastro.direct.emds.com

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.

• Kansas Gastroenterology LLC

  • Gastroenterology Physician
  • Wichita, KS
  • NPI 1477547727
  Medicare reassignment Care Compare group
• Kansas Endoscopy LLC

  • Ambulatory Surgical Clinic/Center
  • Wichita, KS
  • NPI 1538153887
  NPD (past)

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1689000762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 N WEBB RD STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268119",
            "telephone_number": "316-261-3130",
            "fax_number": "316-261-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 N WEBB RD STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268119",
            "telephone_number": "316-261-3130",
            "fax_number": "316-261-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNRUH",
        "first_name": "MADALYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-19",
        "last_updated": "2021-05-13",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "madalynunruh@ksgastro.direct.emds.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3121 N Webb Rd Ste 101",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672268119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksgastro@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "direct messaging address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3121 N Webb Rd Ste 101",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672268119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angelina Pilar Unruh
• Arthur Bennett Unruh, DDS
• Catherine Jade Unruh, LMSW
• Lindsey Marie Unruh
• Lisa Unruh, MD
• Mitchell Cole Unruh, MD
• Paige Amber Unruh, LMSW
• Rachel Unruh, LPC, LMAC-T
• Roger D Unruh, D.O.
• Tamela Unruh, RN

• Physician Assistant in Wichita, KS
• Providers in Wichita, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.