Reinaldo Ernesto Mijares, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0425360 Issued in KS

Practice address

105 S Broadway St
Suite 730
Wichita, KS 67202-4227

Phone

(316) 393-9933

NPI assigned

Aug 30, 2006

Last updated

May 8, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Hospitalist

Education

University of Kansas School of Med (KC/Wich/Sal), 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Restoration Health Care LLCGroup PAC ID 2567708142, 7 clinicians

4 Laps, LLCGroup PAC ID 0749648640, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kansas Heart Hospital Hospital, Wichita, KS, CCN 170186
• Kansas Spine & Specialty Hospital, LLC Hospital, Wichita, KS, CCN 170196
• Kansas Medical Center LLC Hospital, Andover, KS, CCN 170197
• Center at Waterfront LLC Nursing home, Wichita, KS, CCN 175564

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 4 Laps LLC

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1427749951
  Medicare reassignment Care Compare group NPD Authorized official
• Restoration Health Care LLC

  • Skilled Nursing Facility
  • Wichita, KS
  • NPI 1184109803

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Inpatient Consultants of Kansas PA

  • Internal Medicine Physician
  • Overland Park, KS
  • NPI 1548563737
  Medicare reassignment NPD
• Eastside Medical Consultants LLC

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1932218880
  Authorized official Same address or phone
• Inpatient Consultants of Kansas PA

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1225331002
  NPD
• Cancer Center of Kansas, P.a.

  • Radiology Clinic/Center
  • Wichita, KS
  • NPI 1215703426
  NPD (past)
• Cancer Center of Kansas, P.a.

  • Hematology & Oncology Physician
  • Wichita, KS
  • NPI 1841251394
  NPD (past)

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

• Center at Waterfront LLC

  dba The Center at Waterfront

  • Skilled Nursing Facility
  • Wichita, KS
  • NPI 1902308919

  Nursing home

  Care Compare affiliation
• Kansas Heart Hospital, LLC

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1114928108
  Care Compare affiliation
• Kansas Heart Hospital, LLC

  • Cardiovascular Disease Physician
  • Wichita, KS
  • NPI 1881477099

  Hospital

  Care Compare affiliation
• Kansas Medical Center LLC

  • General Acute Care Hospital
  • Andover, KS
  • NPI 1255380127
  Care Compare affiliation
• Kansas Spine & Specialty Hospital, L.L.C.

  dba Kansas Spine & Specialty Hospital Pain Center

  • Pain Medicine (Anesthesiology) Physician
  • Wichita, KS
  • NPI 1033628243

  Hospital

  Care Compare affiliation
• Kansas Spine & Specialty Hospital, L.L.C.

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1417950650
  Care Compare affiliation

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1750490694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7829 E ROCKHILL ST STE 307",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063914",
            "telephone_number": "316-990-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S BROADWAY ST",
            "address_2": "SUITE 730",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672024227",
            "telephone_number": "316-393-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIJARES",
        "first_name": "REINALDO",
        "middle_name": "ERNESTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "0425360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100169960B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1750490694",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midwest Surgery Center, L.C.
• Midwestern Podiatry Services LLC
• Andra L Mies, COTA
• Courtney Mies, CRNA
• Cheryl Lee Miescher, PA-C
• Chelsea Mikulecky, PHARMD
• Alex Milby
• Mileham Psychiatric Services, LLC
• Susan Mileham, ARNP
• Jeffrey L Miles, DDS

• Internal Medicine Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Internal Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.