NPIMap

Individual provider Active NPI

Mark A Leiker, M.D.

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1881698348
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-26415 Issued in KS
Practice address
7111 E 21St St N
Suite a
Wichita, KS 67206
Phone
(316) 684-2851
Fax
(316) 686-7338
NPI assigned
Jun 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-26415 KS Primary

Addresses

Primary practice location

7111 E 21St St N
Suite a
Wichita, KS 67206

Mailing address

7111 E 21St Street N
Suite a
Wichita, KS 67206
Phone (316) 684-2851

Other identifiers 6

IdentifierTypeStateIssuer
101600OtherKSBLUE CROSS INDIVIDUAL
100416440AMedicaidKS
080183217OtherKSRAILROAD MEDICARE
100314730BMedicaidKS
110718OtherKSBLUECROSS GROUP
621762OtherKSFIRSTGUARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050503000109 KS Practitioner - Family Practice 8325087935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care Associates LLCGroup PAC ID 1153235015, 13 clinicians

Practice addresses (Care Compare)

7111 E 21St St N
Suite a
Wichita, KS 67206-1078
Phone (316) 684-2851

Hospital & facility affiliations

  • Home Health & Hospice of Kansas Home health agency, Wichita, KS, CCN 178087
  • Specialized Home Care Home health agency, Wichita, KS, CCN 178111
  • Phoenix Home Care Home health agency, Wichita, KS, CCN 178012
  • Ascension at Home Home health agency, Wichita, KS, CCN 177117
  • Home Health & Hospice of Kansas Hospice, Wichita, KS, CCN 171568
  • Ascension Via Christi Rehabilitation Hospital, Inc Inpatient rehabilitation facility, Wichita, KS, CCN 173028

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-26415KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Associates, LLC Family Medicine CurrentSince Jan 1, 2002 Accepting new patients
Line Medical Inc Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

7111 E 21st St N
Ste A
Wichita, KS 67206
Phone (316) 684-2851

620 N Carriage Pkwy
Wichita, KS 67208
Phone (316) 962-3100

Interoperability endpoints

  • Direct secure messaging: mark.leiker@khindirect.org
  • Direct secure messaging: mark.leiker.1@3862.direct.athenahealth.com

Organizations & group practices 3

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 6

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": "1118448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1881698348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 E 21ST STREET N",
            "address_2": "SUITE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67206",
            "telephone_number": "316-684-2851",
            "fax_number": "316-686-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 E 21ST ST N",
            "address_2": "SUITE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67206",
            "telephone_number": "316-684-2851",
            "fax_number": "316-686-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIKER",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-11",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-26415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS INDIVIDUAL",
            "identifier": "101600",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100416440A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080183217",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100314730B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS GROUP",
            "identifier": "110718",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTGUARD",
            "identifier": "621762",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.