Active NPI
Kumar P Dalla, M.D.
- Retina Specialist (Ophthalmology) Physician
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- 04-29088
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2087285401 | Medicaid | KS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0429088 | KS | MD | Ophthalmology Physician |
| 04-29088 | KS | MD | Retina Specialist (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitreo-Retinal Consultants & Surgeons PA | Ophthalmology | Current | Accepting new patients |
| Eyecare Associates of Salina, LLC | Past | 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
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Kansas Surgery and Recovery Center | 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.
-
- General Acute Care Hospital
- Wichita, KS
- NPI 1306827878
Limited Partnership Interest
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.
-
- Retina Specialist (Ophthalmology) Physician
- Wichita, KS
- NPI 1275557761
-
- Optometrist
- Salina, KS
- NPI 1699740019
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wichita, KS
- NPI 1306827878
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.