Phillip D Challans, M.D.
Individual provider Active NPI Pediatrics Physician · Wichita, KS
NPI 1790780831 · NPPES record last updated Nov 28, 2017
Key facts
- NPI
- 1790780831
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 04-30233 (KS)
- Practice address
- 2535 E Lincoln St
Wichita, KS 67211-3821 - Phone
- (316) 687-9794
- Fax
- (316) 689-6957
- NPI assigned
- Jun 16, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040824001008 | KS | Practitioner - Pediatric Medicine | 9335113430 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-30233 | KS | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Via Christi Rehabilitation Hospital, Inc. | Current |
Accepting new patients | |
| Pawnee Valley Community Hospital Inc | Past | Accepting new patients | |
| Via Christi Rehabilitation, Inc. | Past | Accepting new patients | |
| Mid-Kansas Pediatric Associates, P.a. | Pediatrics | Past | Accepting new patients |
| Children'S Mercy - Mid Kansas Pediatric Associates Inc | Pediatrics | Past |
Accepting new patients |
Locations
501 N Maize Rd
Wichita, KS 67212
Phone (316) 685-1382
2535 E Lincoln St
Wichita, KS 67211
Phone (316) 687-1890
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 04-30233 | KS | |
| Pediatrics Physician | 208000000X | 04-30233 | KS | Yes |
Addresses
Primary practice location
2535 E Lincoln St
Wichita, KS 67211-3821
Mailing address
2600 N Woodlawn Blvd
Wichita, KS 67220-2729
Phone (316) 684-3838
Other providers in Wichita, KS
- Kristina Chaffee Khant
- Caroline Marie Chaffin
- Aubony Rae Chalfant
- Elie Chalhoub
- Ushasri Challa
- Chris Chamberlain
- Jennifer Marie Chambers Daney
- Morghan Maysel Chambers
- William Doug Chambers
- Joe Champion
All providers in Wichita, KS · Pediatrics Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.