NPIMap

Organization Active NPI

Kansas Imaging Consultants, PA

  • Diagnostic Radiology Physician
  • Wichita, KS
National Provider Identifier
1841267663
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
KANSAS IMAGING CONSULTANTS, PA
Practice address
3600 E Harry St
Wichita, KS 67218-3713
Phone
(316) 689-5050
Fax
(316) 689-6192
NPI assigned
Mar 1, 2006
Last updated
Oct 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Authorized official

Name
Dr. Timothy Benning, MDNPI 1053393199
Title
President
Phone
(316) 689-5050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X KS
Neuroradiology Physician 2085N0700X KS
Nuclear Radiology Physician 2085N0904X KS
Pediatric Radiology Physician 2085P0229X KS
Diagnostic Radiology Physician 2085R0202X KS Primary
Therapeutic Radiology Physician 2085R0203X KS
Vascular & Interventional Radiology Physician 2085R0204X KS
Diagnostic Ultrasound Physician 2085U0001X KS

Addresses

Primary practice location

3600 E Harry St
Wichita, KS 67218-3713

Mailing address

PO Box 645
Wichita, KS 67201-0645
Phone (316) 689-5050

Other identifiers 4

IdentifierTypeStateIssuer
110297OtherKSBLUE CROSS BLUE SHIELD
100723500AMedicaidOK
CC634OtherKSRR MEDICARE
100270510AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040616000680 KS Part B Supplier - Clinic/Group Practice 8921082041 Receives reassigned benefits from 29 practitioners
O20231005002298 NY Part B Supplier - Clinic/Group Practice 8921082041 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

1720 E Osage Rd
Ste 2
Derby, KS 67037

3251 N Rock Rd
Derby, KS 67037
Phone (316) 425-2400

1206 W Frontview St
Dodge City, KS 67801
Phone (620) 225-3357

2535 E Lincoln St
Wichita, KS 67211
Phone (316) 687-1890

2734 N Woodlawn Blvd
Ste 116
Wichita, KS 67220
Phone (316) 691-6701

2734 N Woodlawn Blvd
Ste 150
Wichita, KS 67220
Phone (316) 858-4091

3636 N Ridge Rd
Ste 142
Wichita, KS 67205
Phone (316) 462-2020

3636 N Ridge Rd
Ste 150
Wichita, KS 67205
Phone (613) 462-2000

723 N McLean Blvd
Ste 330
Wichita, KS 67203
Phone (316) 687-1555

8020 E Central Ave
Wichita, KS 67206
Phone (316) 682-9900

8444 W 21st St N
Wichita, KS 67205
Phone (316) 274-9850

8541 W 21st St N
Wichita, KS 67205
Phone (316) 227-1767

Practitioners & affiliated clinicians

Practitioners 66

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 66

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1841267663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 645",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672010645",
            "telephone_number": "316-689-5050",
            "fax_number": "316-689-6192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 E HARRY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183713",
            "telephone_number": "316-689-5050",
            "fax_number": "316-689-6192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS IMAGING CONSULTANTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "BENNING",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-689-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "KS",
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "KS",
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "KS",
            "license": null,
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "KS",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "KS",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "KS",
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "KS",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "110297",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100723500A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CC634",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100270510A",
            "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 Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.