Active NPI
Susan Marie Giovanni, D.O.
- Family Medicine Physician
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 05-25302
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Housecalls LLC | Family Medicine | Current | Accepting new patients |
| Mobile Medical II, LLC | Family Medicine | Current | Accepting new patients |
| Geriatric Inpatient Services of Kansas LLC | Family Medicine | Current | Accepting new patients |
| Ennoble HC NJ PC | Current | 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
- 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.
-
- Family Medicine Physician
- Wichita, KS
- NPI 1073293650
Family Medicine, KS
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1528480811
Family Medicine, OK
-
- Skilled Nursing Facility
- Cheney, KS
- NPI 1790770287
-
- Skilled Nursing Facility
- South Hutchinson, KS
- NPI 1417942327
-
- Skilled Nursing Facility
- Hutchinson, KS
- NPI 1033112735
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.