NPIMap

Organization Active NPI

Aziz R Maksoud MD PA

  • Cardiovascular Disease Physician
  • Wichita, KS
National Provider Identifier
1861613598
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0428027 Issued in KS
Legal business name
AZIZ R MAKSOUD MD PA
Practice address
9350 E 35TH St N
Ste 101
Wichita, KS 67226-2019
Phone
(316) 265-1308
Fax
(316) 712-9286
NPI assigned
May 1, 2007
Last updated
Apr 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Logan R Benning
Title
Business Manager
Phone
(316) 712-9234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0428027 KS Primary

Addresses

Primary practice location

9350 E 35TH St N
Ste 101
Wichita, KS 67226-2019

Mailing address

9350 E 35TH St N
Ste 101
Wichita, KS 67226-2019
Phone (316) 265-1308

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct.cardiovascularconsultantsofks@ccme.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070717000238 KS Part B Supplier - Clinic/Group Practice 9830299056 Receives reassigned benefits from 22 practitioners
Practice locations: Chanute, KS; Wichita, KS; Wellington, KS; Fredonia, KS; Eureka, KS; El Dorado, KS; Derby, KS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 23

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 23

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1861613598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 E 35TH ST N",
            "address_2": "STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262019",
            "telephone_number": "316-265-1308",
            "fax_number": "316-712-9286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 E 35TH ST N",
            "address_2": "STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262019",
            "telephone_number": "316-265-1308",
            "fax_number": "316-712-9286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZIZ R MAKSOUD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "BENNING",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "316-712-9234"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "0428027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct.cardiovascularconsultantsofks@ccme.com",
            "affiliation": "N",
            "address_1": "9350 E 35th St N",
            "address_2": "Ste 101",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672262019",
            "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 Apr 29, 2024; 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.