NPIMap

Organization Active NPI

Ascension Via Christi Hospitals Wichita Inc.

Doing business as Ascension Via Christi Physician Group

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1871589333
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ASCENSION VIA CHRISTI HOSPITALS WICHITA INC.
Doing business as
Ascension Via Christi Physician Group
Practice address
929 N. St. Francis
Wichita, KS 67214-3821
Phone
(316) 268-5000
Fax
(316) 291-4788
NPI assigned
Sep 21, 2005
Last updated
Aug 12, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
ASCENSION VIA CHRISTI HOSPITALS WICHITA INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Authorized official

Name
Mr. Michael McCullough
Title
Cfo
Phone
(316) 858-4933

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Pulmonary Disease Physician 207RP1001X
Orthopaedic Surgery Physician 207X00000X
Pediatrics Physician 208000000X
Neurology Physician 2084N0400X
Radiation Oncology Physician 2085R0001X

Addresses

Primary practice location

929 N. St. Francis
Wichita, KS 67214-3821

Mailing address

PO Box 1897
Wichita, KS 67201-1897
Phone (316) 268-5178

Other identifiers 1

IdentifierTypeStateIssuer
100080640DMedicaidKS

Other names 1

  • Ascension Via Christi Physician Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031118000404 KS Part B Supplier - Clinic/Group Practice 5799696944 Receives reassigned benefits from 222 practitioners
13 other NPIs on this enrollment
Practice locations: Wichita, KS; Winfield, KS; Caldwell, KS; Chanute, KS; Eureka, KS; Great Bend, KS; Hoisington, KS; Hutchinson, KS…

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory
Part of
St Joseph Family Practi

Locations

818 N Emporia St
Ste 303
Wichita, KS 67214
Phone (316) 268-6856

848 N Saint Francis Ave
Ste 3949
Wichita, KS 67214
Phone (316) 268-8040

Ownership & related parties

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Kansas Heart HospitalWichita, KS, CCN 170186 Hospital 5% Or Greater Direct Ownership Interest (49%) Apr 30, 2007
Kansas Surgery and Recovery CenterWichita, KS, CCN 170183 Hospital 5% Or Greater Indirect Ownership Interest (55.93%)
Operational/Managerial Control		 Oct 1, 2002
Jul 27, 2015
Ascension Via Christi Rehabilitation Hospital IncWichita, KS, CCN 173028 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 15, 2011

Owned or controlled facilities with NPI records 4

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

Practitioners & affiliated clinicians

Practitioners 345

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 345

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565568000000",
    "number": "1871589333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1897",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672011897",
            "telephone_number": "316-268-5178",
            "fax_number": "316-719-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N. ST. FRANCIS",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143821",
            "telephone_number": "316-268-5000",
            "fax_number": "316-291-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION VIA CHRISTI HOSPITALS WICHITA INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASCENSION VIA CHRISTI HOSPITALS WICHITA INC.",
        "enumeration_date": "2005-09-21",
        "last_updated": "2019-08-12",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUGH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "316-858-4933",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100080640D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Via Christi Physician Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.