Active NPI
Kevin P Rieg, M.D.
- Physical Medicine & Rehabilitation Physician
- Wichita, KS
National Provider Identifier
1750307500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 04-23692
- Practice address
- 1151 N Rock Rd
Wichita, KS 67206-1262 - Phone
- (316) 634-3409
- Fax
- (316) 634-3634
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 04-23692 | KS | Primary |
Addresses
Primary practice location
1151 N Rock Rd
Wichita, KS 67206-1262
Mailing address
1151 N Rock Rd
Wichita, KS 67206-1262
Phone (316) 634-3409
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100317980C | Medicaid | KS | |
| 100317980B | Medicaid | KS | |
| BB7812 | Other | KS | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kevin Paul Rieg | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Ascension Via Christi Rehabilitation Hospital, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Medicine & Rehabilitation Physician
- Wichita, KS
- NPI 1801943527
-
- Family Medicine Physician
- Wichita, KS
- NPI 1477504645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271030400000",
"number": "1750307500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1151 N ROCK RD",
"city": "WICHITA",
"state": "KS",
"postal_code": "672061262",
"telephone_number": "316-634-3409",
"fax_number": "316-634-3634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 N ROCK RD",
"city": "WICHITA",
"state": "KS",
"postal_code": "672061262",
"telephone_number": "316-634-3409",
"fax_number": "316-634-3634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIEG",
"first_name": "KEVIN",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2010-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "KS",
"license": "04-23692",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100317980C",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100317980B",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "BB7812",
"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 Apr 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.