Individual provider Active NPI

Alex D Ammar, MD

  • Vascular Surgery Physician
  • Wichita, KS
National Provider Identifier
1811994676
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
0417170 Issued in KS
Practice address
551 N Hillside St Ste 201
Wichita, KS 67214-4925
Phone
(316) 263-0296
NPI assigned
Jul 7, 2005
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 0417170 KS Primary

Addresses

Primary practice location

551 N Hillside St Ste 201
Wichita, KS 67214-4925

Mailing address

551 N Hillside St Ste 201
Wichita, KS 67214-4925
Phone (316) 263-0296

Other identifiers 1

IdentifierTypeStateIssuer
100154220CMedicaidKS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050516000407 KS Practitioner - Vascular Surgery 4789595935 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0417170KSMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita Surgical Specialists PA Vascular Surgery CurrentSince Jan 1, 1995 Accepting new patients
Preferred Medical Associates PastSince Jan 1, 2001 Accepting new patients

Locations

551 N Hillside St
Ste 201
Wichita, KS 67214
Phone (316) 263-0296

818 N Emporia St
Ste 200
Wichita, KS 67214
Phone (316) 263-0296

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

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1811994676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 N HILLSIDE ST STE 201",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144925",
            "telephone_number": "316-263-0296",
            "fax_number": "316-263-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 N HILLSIDE ST STE 201",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144925",
            "telephone_number": "316-263-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMMAR",
        "first_name": "ALEX",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "KS",
            "license": "0417170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100154220C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.