Individual provider Active NPI

Kumar P Dalla, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Wichita, KS
National Provider Identifier
1841291903
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
04-29088 Issued in KS
Practice address
530 N Lorraine St
Wichita, KS 67214-4837
Phone
(316) 683-5611
Fax
(316) 683-0294
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 04-29088 KS Primary
Ophthalmology Physician 207W00000X 0429088 KS

Addresses

Primary practice location

530 N Lorraine St
Wichita, KS 67214-4837

Mailing address

530 N Lorraine St
Wichita, KS 67214-4837
Phone (316) 683-5611

Other identifiers 1

IdentifierTypeStateIssuer
2087285401MedicaidKS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kdalla@vrcks.intellechartdirect.net

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
I20100915000402 KS Practitioner - Ophthalmology 1759484694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitreo-Retinal Consultants and Surgeons PAGroup PAC ID 9133175607, 5 clinicians

Practice addresses (Care Compare)

530 N Lorraine Ave
Suite 200
Wichita, KS 67214-4837
Phone (316) 683-5611

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0429088KSMDOphthalmology Physician
04-29088KSMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitreo-Retinal Consultants & Surgeons PA Ophthalmology CurrentSince Jul 1, 2001 Accepting new patients
Eyecare Associates of Salina, LLC PastSince Oct 15, 2007 Accepting new patients

Locations

502 College Dr
Garden City, KS 67846
Phone (316) 275-7248

900 Westchester Dr
Salina, KS 67401
Phone (785) 823-0659

530 N Lorraine Ave
Ste 200
Wichita, KS 67214
Phone (316) 683-5611

530 N Lorraine Ave
#200
Wichita, KS 67214

530 N Lorraine Ave
Wichita, KS 67214
Phone (316) 683-5611

3615 SE Kentucky St
Bartlesville, OK 74006
Phone (800) 354-2020

Interoperability endpoints

  • Direct secure messaging: kumar.dalla@khindirect.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kansas Surgery and Recovery CenterWichita, KS, CCN 170183 Hospital Limited Partnership Interest (0.25%) Nov 29, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1841291903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 N LORRAINE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144837",
            "telephone_number": "316-683-5611",
            "fax_number": "316-683-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N LORRAINE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144837",
            "telephone_number": "316-683-5611",
            "fax_number": "316-683-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLA",
        "first_name": "KUMAR",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "KS",
            "license": "04-29088",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "0429088",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2087285401",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdalla@vrcks.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "530 N Lorraine St",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672144837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.