Individual provider Active NPI

Philip Taylor Dooley, M.D.

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1902003601
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-37204 Issued in KS
Practice address
707 N Emporia St
Wichita, KS 67214-3707
Phone
(316) 858-3460
Fax
(316) 858-3458
NPI assigned
Jun 27, 2007
Last updated
Jun 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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 04-37204 KS Primary

Addresses

Primary practice location

707 N Emporia St
Wichita, KS 67214-3707

Mailing address

707 N Emporia St
Wichita, KS 67214-3707
Phone (316) 858-3460

Other identifiers 2

IdentifierTypeStateIssuer
200535200AOtherOKOK MEDICAID
110173288OtherMEDICARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140606000443 KS Practitioner - Family Practice 7911187380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Michigan Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1121 S Clifton Ave
Wichita, KS 67218-2912
Phone (316) 689-5500

3600 E Harry St
Wichita, KS 67218-3713
Phone (316) 268-5000

707 N Emporia St
Wichita, KS 67214-3707
Phone (316) 858-3460

929 N Saint Francis Ave
Wichita, KS 67214-3821
Phone (316) 268-5000

929 N Saint Francis St
Wichita, KS 67214-3821

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-37204KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Via Christi Hospitals Wichita Inc. CurrentSince Jul 14, 2014 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. Family Medicine CurrentSince Jul 14, 2014 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. Past Accepting new patients

Locations

1100 N Saint Francis Ave
Fl 4
Wichita, KS 67214
Phone (316) 268-8080

707 N Emporia St
Wichita, KS 67214
Phone (316) 858-3460

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20807/brand/4/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1902003601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N EMPORIA ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143707",
            "telephone_number": "316-858-3460",
            "fax_number": "316-858-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N EMPORIA ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143707",
            "telephone_number": "316-858-3460",
            "fax_number": "316-858-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLEY",
        "first_name": "PHILIP",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-37204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK MEDICAID",
            "identifier": "200535200A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "110173288",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.