Active NPI
Karen L Bohaty, PA-C
- Specialist
- Wichita, KS
National Provider Identifier
1811998792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 15-00770
- Practice address
- 1911 N Webb Rd
Wichita, KS 67206-3405 - Phone
- (316) 682-7546
- Fax
- (316) 682-7554
- NPI assigned
- Aug 2, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 15-00770 | KS | Primary |
Addresses
Primary practice location
1911 N Webb Rd
Wichita, KS 67206-3405
Mailing address
1911 N Webb Rd
Wichita, KS 67206-3405
Phone (316) 682-7546
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100407240A | Medicaid | KS |
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050503000987 | KS | Practitioner - Physician Assistant | 4385684992 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1911 N Webb Rd
Wichita, KS 67206-3405
Phone (316) 682-7546
4013 N Ridge Rd
120 Moeller Dermatology
Wichita, KS 67205-8826
Phone (316) 682-7546
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.13 of 100
- Quality
- 89.77
- Improvement activities
- 40
- Cost
- 84.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- kbohaty@wichitaderm.emadirect.md
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625011200000",
"number": "1811998792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1911 N WEBB RD",
"city": "WICHITA",
"state": "KS",
"postal_code": "672063405",
"telephone_number": "316-682-7546",
"fax_number": "316-682-7554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1911 N WEBB RD",
"city": "WICHITA",
"state": "KS",
"postal_code": "672063405",
"telephone_number": "316-682-7546",
"fax_number": "316-682-7554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHATY",
"first_name": "KAREN",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-02",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "KS",
"license": "15-00770",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100407240A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.