Matthew Harris Conrad, M.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

KS0429556 Issued in KS

Practice address

1700 Waterfront Pkwy
#200
Wichita, KS 67206-6614

Phone

(316) 681-2227

Fax

(316) 684-5250

NPI assigned

May 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Plastic and Reconstructive Surgery

Education

University of Texas Southwestern Medical School at Dallas, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kansas Surgery & Recovery Center Hospital, Wichita, KS, CCN 170183

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: matthew.conrad@directsbamh.org

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Kansas Surgery & Recovery Center LLC

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1306827878

  Limited Partnership Interest

  CMS ownership

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.

• Cosmetic & Reconstructive Surgery Center, PA

  • Ambulatory Surgical Clinic/Center
  • Wichita, KS
  • NPI 1659327245
  NPD Authorized official
• Matthew H. Conrad, MD, PA

  • Plastic Surgery Physician
  • Wichita, KS
  • NPI 1245489632
  Medicare reassignment
• Associates in Anesthesia Inc

  • Certified Registered Nurse Anesthetist
  • Salina, KS
  • NPI 1699869628
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kansas Surgery & Recovery Center LLC

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1306827878
  Care Compare affiliation

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1700831294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N WATERFRONT PKWY",
            "address_2": "#200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672066618",
            "telephone_number": "316-681-2227",
            "fax_number": "316-684-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WATERFRONT PKWY",
            "address_2": "#200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672066614",
            "telephone_number": "316-681-2227",
            "fax_number": "316-684-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "MATTHEW",
        "middle_name": "HARRIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2022-02-17",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KS",
            "license": "KS0429556",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "KS",
            "license": "KS0429556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100421630B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caytlyn Conner
• Jeffrey D Conner, DPT
• Mirna M Connor-Fefe, LMSW
• Lauren R Connor
• Gary H. Conover
• Rachel Marie Conrad, MA CCC-SLP
• Ralph Conrad, SLP
• Terese Conrad, MA, CCC,C SLP
• Andrew Conrady, PA-C
• Peter Anthony Conrardy, M.D.

• Plastic and Reconstructive Surgery Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Plastic and Reconstructive Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.