Active NPI
Kelly D Holloway, MD
- Anesthesiology Physician
- Wichita, KS
National Provider Identifier
1710956396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 0421912
- Practice address
- 929 N Saint Francis St
Wichita, KS 67214-3821 - Phone
- (316) 263-1574
- Fax
- (316) 264-1905
- NPI assigned
- Mar 16, 2006
- Last updated
- Sep 6, 2026
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 0421912 | KS | Primary |
Addresses
Primary practice location
929 N Saint Francis St
Wichita, KS 67214-3821
Mailing address
PO Box 2897
Wichita, KS 67201-2897
Phone (316) 263-1574
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 047288 | Other | KS | BCBC |
| 050032914 | Other | RR MEDICARE GROUP CQ2307 | |
| 100126900C | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 92.91 of 100
- Quality
- 77.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0421912 | KS | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiovascular Anesthesia of Wichita, LLC | Anesthesiology | Current | Accepting new patients |
Locations
3601 N Webb Rd
Wichita, KS 67226
Phone (316) 360-5000
Interoperability endpoints
- kholloway697235@direct.kuha.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Wichita, KS
- NPI 1093048431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788652800000",
"number": "1710956396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2897",
"city": "WICHITA",
"state": "KS",
"postal_code": "672012897",
"telephone_number": "316-263-1574",
"fax_number": "316-264-1905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 N SAINT FRANCIS ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672143821",
"telephone_number": "316-263-1574",
"fax_number": "316-264-1905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLOWAY",
"first_name": "KELLY",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2026-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "KS",
"license": "0421912",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBC",
"identifier": "047288",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP CQ2307",
"identifier": "050032914",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100126900C",
"state": "KS"
}
],
"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 Sep 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.