Individual provider Active NPI

Susan Marie Giovanni, D.O.

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1689616203
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05-25302 Issued in KS
Practice address
345 N Riverview St Ste 500
Wichita, KS 67203-4265
Phone
(316) 616-1055
Fax
(855) 633-0585
NPI assigned
Jun 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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 05-25302 KS Primary

Addresses

Primary practice location

345 N Riverview St Ste 500
Wichita, KS 67203-4265

Mailing address

345 N Riverview St Ste 500
Wichita, KS 67203-4265
Phone (316) 616-1055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, OK, MO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050218000154 KS Practitioner - Family Practice 4183676091 Reassigns benefits to 2 organizations
I20210517000129 OK Practitioner - Family Practice 4183676091 Reassigns benefits to 2 organizations
I20220203002577 MO Practitioner - Family Practice 4183676091 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Housecalls LLC Family Medicine CurrentSince Apr 29, 2021 Accepting new patients
Mobile Medical II, LLC Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
Geriatric Inpatient Services of Kansas LLC Family Medicine CurrentSince Nov 19, 2024 Accepting new patients
Ennoble HC NJ PC CurrentSince Sep 1, 2024 Accepting new patients
Mennonite Friendship Communities, Inc. Past Accepting new patients
Wesley Towers, Inc. Past Accepting new patients
Cheney Golden Age Home, Inc. Past Accepting new patients

Locations

345 N Riverview St
Ste 412
Wichita, KS 67203
Phone (316) 223-4466

345 N Riverview St
Ste 500
Wichita, KS 67203
Phone (316) 616-1055

117 S Lexington St
Ste 100
Harrisonville, MO 64701
Phone (844) 902-2554

2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142

304 S 29th St
Chickasha, OK 73018
Phone (405) 224-3100

3209 S Broadway
Ste 229
Edmond, OK 73013
Phone 5512958223 ext. 58223

101 W Hefner Rd
Oklahoma City, OK 73114
Phone (405) 896-8058

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19281/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1689616203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 N RIVERVIEW ST STE 500",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034265",
            "telephone_number": "316-616-1055",
            "fax_number": "855-633-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 N RIVERVIEW ST STE 500",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034265",
            "telephone_number": "316-616-1055",
            "fax_number": "855-633-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIOVANNI",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-25302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.