Wichita Diabetes and Endocrinology, LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

WICHITA DIABETES AND ENDOCRINOLOGY, LLC

Practice address

8110 E 32ND St N Ste 125
Wichita, KS 67226-2644

Phone

(316) 330-3636

Fax

(866) 378-4552

NPI assigned

Apr 9, 2018

Last updated

Nov 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aubry Mae Boyce

Title

Clinic Manager

Phone

(316) 330-3636

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: georges.elhomsy.1@17686.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/17686/brand/1/csg/1/fhir/r4

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julia Bippert, RLD, CDE

  • Registered Dietitian
  • Wichita, KS
  • NPI 1679904809
  Medicare reassignment Care Compare group NPD
• Georges Elhomsy, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Wichita, KS
  • NPI 1952564908
  Medicare reassignment Care Compare group NPD
• Sahar Bassam Hachem, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Wichita, KS
  • NPI 1942441357
  Medicare reassignment Care Compare group NPD
• Molly Wiwi, APRN, FNP-C

  • Family Nurse Practitioner
  • Wichita, KS
  • NPI 1922519669
  Medicare reassignment Care Compare group NPD
• Jerrod A. Conkling, P.A.

  • Surgical Physician Assistant
  • Wichita, KS
  • NPI 1114950706
  Medicare reassignment Care Compare group
• Jason James Menges, PA-C

  • Medical Physician Assistant
  • Wichita, KS
  • NPI 1982691242
  Medicare reassignment Care Compare group
• Payden Mae Shapland, PA-C

  • Physician Assistant
  • Lakin, KS
  • NPI 1659071181
  Medicare reassignment Care Compare group
• Ellen E. Borst, D.O.

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1053453142
  NPD (past)

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1770080673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 E 32ND ST N STE 125",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262623",
            "telephone_number": "316-330-3636",
            "fax_number": "844-322-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8110 E 32ND ST N STE 125",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262644",
            "telephone_number": "316-330-3636",
            "fax_number": "866-378-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICHITA DIABETES AND ENDOCRINOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-09",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "BOYCE",
        "authorized_official_first_name": "AUBRY",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "316-330-3636"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "georges.elhomsy.1@17686.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "8110 E 32nd St N Ste 125",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "67226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "georges.elhomsy.1@17686.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "8110 E 32nd St N Ste 125",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672262644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Endocrinology, Diabetes & Metabolism Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Endocrinology, Diabetes & Metabolism Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.