Smyrna Abou Antoun, MD
Individual provider Active NPI Internal Medicine Physician · Wichita, KS
NPI 1821297656 · NPPES record last updated Mar 17, 2008
Key facts
- NPI
- 1821297656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 046697 (KS)
- Practice address
- 1010 N Kansas St
Wichita, KS 67214-3124 - Phone
- (316) 962-3030
- NPI assigned
- Jul 12, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospitalist Medicine Physicians of Texas PLLC
Practice addresses (Care Compare)
929 N Saint Francis Ave
HMP of TX PLLC
Wichita, KS 67214-3821
Phone (316) 291-4396
Hospital & facility affiliations
- Ascension Via Christi Hospitals Wichita, Inc.
- NMC Health
- Via Christi Hospital Wichita St Teresa, Inc
- Hutchinson Regional Medical Center Inc
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 |
|---|---|---|---|---|
| I20121120000064 | KS | Practitioner - Hospitalist |
2264683341 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046697 | KS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Texas, PLLC | Internal Medicine | Current |
Accepting new patients |
| Cogent Healthcare of Texas, PA | Internal Medicine | Current |
Accepting new patients |
| Ascension Via Christi Hospitals Wichita Inc. | Past | Accepting new patients |
Locations
20333 W 151st St
Olathe, KS 66061
Phone (888) 960-1393
1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310
3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426
929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396
14800 W Saint Teresa St
Wichita, KS 67235
Phone (316) 268-6976
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 046697 | KS | Yes |
Addresses
Primary practice location
1010 N Kansas St
Wichita, KS 67214-3124
Mailing address
1010 N Kansas St
Wichita, KS 67214-3124
Other providers in Wichita, KS
- Shawna L Abendroth
- Oaklee Layne Abernathy
- Leigh Ann Ablah
- Able Chiropractic, PA
- Kayla Mary Abney
- Dory Abou Jaoude
- Cynthia Abou Mayla Hayek
- Hadi Abou Zeid
- About You Palliative Care & Hospice, LLC
- Benjamin Elwyn Abraham
All providers in Wichita, KS · Internal Medicine 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 Mar 17, 2008. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.