David Mutisya Maundu, MD
Individual provider Active NPI Pediatrics Physician · Wichita, KS
NPI 1902594450 · NPPES record last updated Apr 24, 2023
Key facts
- NPI
- 1902594450
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 94-11324 (KS)
- Practice address
- 1010 N Kansas St
Wichita, KS 67214-3124 - Phone
- (316) 293-2665
- NPI assigned
- Apr 24, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- William Newton Memorial Hospital
Vigilias LLC
Practice addresses (Care Compare)
1300 E 5TH Ave
Winfield, KS 67156-2407
Phone (620) 222-6270
425 N Belmont Ave
Wichita, KS 67208-3810
Phone 3165007549700
Hospital & facility affiliations
- William Newton Hospital
- William Newton Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260109003169 | KS | Practitioner - Internal Medicine |
6507226610 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vigilias LLC | Pediatrics | Current |
Accepting new patients |
| William Newton Memorial Hospital | Current |
Accepting new patients | |
| William Newton Memorial Hospital | Current |
Accepting new patients |
Locations
4723 E Douglas Ave
Wichita, KS 67218
Phone (316) 670-3800
1300 E 5th Ave
Winfield, KS 67156
Phone (620) 221-2300
Interoperability endpoints
- david.maundu@hca3.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 94-11324 | KS | Yes |
Addresses
Primary practice location
1010 N Kansas St
Wichita, KS 67214-3124
Mailing address
1010 N Kansas St
Wichita, KS 67214-3124
Phone (316) 293-2665
Other providers in Wichita, KS
- Rose M Matzek
- Tressie Maugans
- Margaret Mauk
- Brynn M Maul
- Kathleen Suzanne Mauler
- Amanda Maupin
- Jefferson Maupin
- Rosa Katharine Maus
- Maverick Insights Counseling LLC
- Maxim Healthcare Financial Management Services, LLC
All providers in Wichita, KS · Pediatrics Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.