Active NPI
Mark Mosley, MD
- Emergency Medicine Physician
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0425036
- Practice address
- 550 N Hillside St
Wichita, KS 67214-4910 - Phone
- (316) 962-2239
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0425036 | KS | Primary |
Addresses
Primary practice location
550 N Hillside St
Wichita, KS 67214-4910
Mailing address
PO Box 548
Wichita, KS 67201-0548
Phone (316) 962-2239
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050510000761 | KS | Practitioner - Emergency Medicine | 3274573142 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carepoint Emergency Medicine Kansas LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Services PA | Past | Accepting new patients | |
| Runway Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| The Good Samaritan-a Family Health Care Facility, Inc | Family Medicine | Past | Accepting new patients |
| Air City Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
Locations
221 W US Highway 54
Andover, KS 67002
Phone (316) 962-5100
2648 N Rock Rd
Derby, KS 67037
Phone (316) 962-2000
550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239
2610 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 684-3838
8714 W 13th St N
Wichita, KS 67212
Phone (316) 962-9900
Interoperability endpoints
- mark.l.mosley@khindirect.org
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Wichita, KS
- NPI 1477096097
Emergency Medicine, KS
-
- Emergency Medicine Physician
- Wichita, KS
- NPI 1891034401
Emergency Medicine
-
- Family Nurse Practitioner
- Wichita, KS
- NPI 1275072357
-
- Emergency Medicine Physician
- Wichita, KS
- NPI 1063751352
Emergency Medicine
-
- Family Medicine Physician
- Wichita, KS
- NPI 1770536401
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700968146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 548",
"city": "WICHITA",
"state": "KS",
"postal_code": "672010548",
"telephone_number": "316-962-2239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 N HILLSIDE ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672144910",
"telephone_number": "316-962-2239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSLEY",
"first_name": "MARK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KS",
"license": "0425036",
"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 Jul 8, 2007; 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.