Tracy R Klein, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

04-28967 Issued in KS

Practice address

1709 S Rock Rd
Wichita, KS 67207-5150

Phone

(316) 682-7411

NPI assigned

Apr 5, 2006

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 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Kansas School of Med (KC/Wich/Sal), 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Wichita Family Medicine Specialists, LLCGroup PAC ID 4082620489, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Wichita, KS, CCN 177216
• Phoenix Home Care Home health agency, Wichita, KS, CCN 178012
• Ascension at Home Home health agency, Wichita, KS, CCN 177117
• Faith Home Health Home health agency, Wichita, KS, CCN 178112
• Wesley Healthcare at Home Home health agency, Salina, KS, CCN 177187
• Ascension Via Christi Hospitals Wichita, Inc. Hospital, Wichita, KS, CCN 170122
• Wesley Medical Center Hospital, Wichita, KS, CCN 170123
• Rock Regional Hospital, LLC Hospital, Derby, KS, CCN 170204

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Wichita Family Medicine Specialists, LLC

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1376504084

  Family Medicine, KS

  Medicare reassignment Care Compare group NPD
• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248
  Care Compare group

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

• Ascension Via Christi Hospitals Wichita Inc.

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1154314789

  Hospital

  Care Compare affiliation
• Day-by-Day Staff Relief, LLC

  • Home Health Agency
  • Wichita, KS
  • NPI 1093069304
  Care Compare affiliation
• Innovative Senior Care Home Health of Kansas LLC

  • Home Health Agency
  • Salina, KS
  • NPI 1568764520
  Care Compare affiliation
• Inspire Home Health-W LLC.

  • Home Health Agency
  • Wichita, KS
  • NPI 1114659380
  Care Compare affiliation
• Proactive Home Care, LLC

  • Home Health Agency
  • Wichita, KS
  • NPI 1013979905
  Care Compare affiliation
• Via Christi Home Health Wichita, LLC

  • Home Health Agency
  • Wichita, KS
  • NPI 1235132119
  Care Compare affiliation
• Wesley Medical Center LLC

  • Land Ambulance
  • Wichita, KS
  • NPI 1205760006

  Hospital

  Care Compare affiliation
• Wesley Medical Center LLC

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1447299649

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1770545691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 S ROCK RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672075150",
            "telephone_number": "316-682-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 S ROCK RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672075150",
            "telephone_number": "316-682-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "TRACY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-28967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "102052",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liesa Klein, PSY.D.
• Madison Klein
• Melissa Klein, AU.D
• Terry D Klein, M.D.
• Thomas C Klein, M.D.
• Dylan Klemmer
• Melissa Kaye Klepinger, RN
• Alta Sue Klick, ARNP
• Elizabeth Ann Kliewer Megee, RN
• Carolyn S Kliewer, PA-C

• All providers in Wichita, KS
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.