Jany Khairallah Moussa, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

04-28358 Issued in KS

Practice address

818 N Emporia St
Suite 310
Wichita, KS 67214-3729

Phone

(316) 263-5891

Fax

(316) 263-3080

NPI assigned

May 16, 2006

Last updated

Sep 29, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

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

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wichita Nephrology Group PAGroup PAC ID 3375596174, shared by 2 NPIs, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Andover Dialysis Dialysis facility, Andover, KS, CCN 172557
• DaVita Renal Treatment Center-Newton Dialysis facility, Newton, KS, CCN 172529
• DaVita Maize Dialysis Center Dialysis facility, Maize, KS, CCN 172548
• DaVita Wichita Dialysis Center Dialysis facility, Wichita, KS, CCN 172503
• DaVita NE Wichita Dialysis Center Dialysis facility, Wichita, KS, CCN 172542
• Ascension Via Christi Hospitals Wichita, Inc. Hospital, Wichita, KS, CCN 170122
• NMC Health Hospital, Newton, KS, CCN 170103
• St Luke Hospital & Living Center Hospital, Marion, KS, CCN 171356
• William Newton Hospital Hospital, Winfield, KS, CCN 171383
• Mercy Hospital, Inc Hospital, Moundridge, KS, CCN 170780

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wichita Nephrology Group, PA

  • Nephrology Physician
  • Wichita, KS
  • NPI 1104877810
  Medicare reassignment NPD
• Wichita Nephrology Group, PA

  dba ReVask Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Wichita, KS
  • NPI 1396238010
  Medicare reassignment NPD

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

• Joshua Dialysis LLC

  dba Andover Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Andover, KS
  • NPI 1679817258

  Dialysis facility

  Care Compare affiliation Name & address match
• Renal Treatment Centers West Inc

  dba Renal Treatment Centers-Newton

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Newton, KS
  • NPI 1588623417

  Dialysis facility

  Care Compare affiliation Name & address match
• Renal Treatment Centers West Inc

  dba Wichita Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Wichita, KS
  • NPI 1740249655

  Dialysis facility

  Care Compare affiliation Name & address match
• Renal Treatment Centers West Inc

  dba NE Wichita Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Wichita, KS
  • NPI 1831158542

  Dialysis facility

  Care Compare affiliation Name & address match
• Ascension Via Christi Hospitals Wichita Inc.

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1154314789
  Care Compare affiliation
• Hospital District No 1 Marion Co

  dba St. Luke Hospital

  • Critical Access Hospital
  • Marion, KS
  • NPI 1326087966
  Care Compare affiliation
• Mercy Hospital Inc

  • Rural Acute Care Hospital
  • Moundridge, KS
  • NPI 1083628911
  Care Compare affiliation
• Newton Healthcare Corporation

  dba NMC Health

  • General Acute Care Hospital
  • Newton, KS
  • NPI 1245238435
  Care Compare affiliation
• William Newton Memorial Hospital

  • Critical Access Hospital
  • Winfield, KS
  • NPI 1548229149
  Care Compare affiliation

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1861443459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 N EMPORIA ST",
            "address_2": "SUITE 310",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143729",
            "telephone_number": "316-263-5891",
            "fax_number": "316-263-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 N EMPORIA ST",
            "address_2": "SUITE 310",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143729",
            "telephone_number": "316-263-5891",
            "fax_number": "316-263-3080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2122 N Garnett St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672063023",
            "country_code": "US",
            "telephone_number": "316-263-5891",
            "fax_number": "316-263-3083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUSSA",
        "first_name": "JANY",
        "middle_name": "KHAIRALLAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KS",
            "license": "04-28358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle@wngpa.com",
            "affiliation": "N",
            "address_1": "2122 N Garnett St",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672063023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle@wngpa.com",
            "affiliation": "N",
            "address_1": "818 N Emporia St",
            "address_2": "Suite 310",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672143729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Motus Health Wichita LLC
• Ciara Mould, LCP, LMLP
• Jay W Mounkes
• Mount St Mary Inc (Mount St Mary)
• Darrel J Mourning, ARNP
• Ronnie K Moussa, MD
• Move2Play Pediatric Physical Therapy
• Movewell Chiropractic & Bodyworks LLC
• Moxie Counseling LLC
• Moxley Family Dental, LLC

• Nephrology Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Nephrology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.

Verify at the official NPI Registry.