Ali Mazhar Elkharbotly, MD
Individual provider Active NPI Interventional Cardiology Physician · Wichita, KS
NPI 1710147780 · NPPES record last updated Sep 30, 2016
Key facts
- NPI
- 1710147780
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interventional Cardiology Physician 207RI0011X
- License
- 04-37653 (KS)
- Practice address
- 3311 E Murdock St
Wichita, KS 67208-3054 - Phone
- (316) 689-9370
- Fax
- (316) 689-9363
- NPI assigned
- Jun 13, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Interventional Cardiology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ascension Medical Group Via Christi PA
Ascension Via Christi Hospitals Wichita Inc
Practice addresses (Care Compare)
3311 E Murdock St
Wichita, KS 67208-3054
Phone (316) 689-9349
929 N Saint Francis Ave
Wichita, KS 67214-3821
Phone (316) 268-5000
Hospital & facility affiliations
- Ascension Via Christi Hospitals Wichita, Inc.
- Via Christi Hospital Wichita St Teresa, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 14 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150624002625 | KS | Practitioner - Interventional Cardiology |
3678884145 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Via Christi Hospitals Wichita Inc. | Current |
Accepting new patients | |
| Ascension Medical Group Via Christi, PA | Current |
Accepting new patients | |
| Ascension Via Christi Hospitals Wichita Inc. | Current |
Accepting new patients | |
| Ascension Medical Group Via Christi, PA | Current |
Accepting new patients |
Locations
3311 E Murdock St
Wichita, KS 67208
Phone (316) 689-9107
929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396
Interoperability endpoints
- https://api.platform.athenahealth.com/20807/brand/4/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 04-37653 | KS | Yes |
Addresses
Primary practice location
3311 E Murdock St
Wichita, KS 67208-3054
Mailing address
PO Box 8035
Wichita, KS 67208-0035
Phone (316) 689-9135
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003719381 | Other | MEDICARE | |
| 201115630A | Medicaid | KS |
Other providers in Wichita, KS
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- Elizabeth Peters LLC
- Paul Michael Elkin
- Ellie Hiland LLC
- Kyle Ellingsen
- Ashly J Elliott
- Heidi Louise Elliott
All providers in Wichita, KS · Interventional Cardiology Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.