Individual provider Active NPI

Keck R Hartman, MD

  • Infectious Disease Physician
  • Wichita, KS
National Provider Identifier
1912902685
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
0422023 Issued in KS
Practice address
310 S Hillside St
Wichita, KS 67211-2129
Phone
(316) 264-3505
Fax
(316) 264-0908
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 0422023 KS Primary

Addresses

Primary practice location

310 S Hillside St
Wichita, KS 67211-2129

Mailing address

310 S Hillside St
Wichita, KS 67211-2129
Phone (316) 264-3505

Other practice location 1

2100 N Waldron St Ste 5
Hutchinson, KS 67502-1176
Phone (620) 728-1498

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address medicalrecords@idckansas.com
Direct Messaging Address medicalrecords@idckansas.com

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
I20041020001000 KS Practitioner - Infectious DiseasePractitioner - Internal Medicine 3577524800 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0422023KSMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Via Christi Hospitals Wichita Inc. CurrentSince Feb 19, 2014 Accepting new patients
Infectious Disease Consultants, P.a. Infectious Disease CurrentSince Oct 1, 2003 Accepting new patients
Infectious Disease Consultants, P.a. CurrentSince Oct 1, 2003 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. CurrentSince Feb 19, 2014 Accepting new patients

Locations

2100 N Waldron St
Ste 5
Hutchinson, KS 67502
Phone (620) 728-1498

1701 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 665-2117

1100 N Saint Francis Ave
Ste 130
Wichita, KS 67214
Phone (316) 264-3505

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

310 S Hillside St
Wichita, KS 67211
Phone (316) 264-3505

Interoperability endpoints

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

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1912902685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672112129",
            "telephone_number": "316-264-3505",
            "fax_number": "316-264-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672112129",
            "telephone_number": "316-264-3505",
            "fax_number": "316-264-0908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 N Waldron St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Hutchinson",
            "state": "KS",
            "postal_code": "675021176",
            "country_code": "US",
            "telephone_number": "620-728-1498",
            "fax_number": "620-728-1838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "KECK",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "KS",
            "license": "0422023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "medicalrecords@idckansas.com",
            "affiliation": "N",
            "address_1": "310 S Hillside St",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672112129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "medicalrecords@idckansas.com",
            "affiliation": "N",
            "address_1": "2100 N Waldron St Ste 5",
            "city": "Hutchinson",
            "state": "KS",
            "country_code": "US",
            "postal_code": "675021176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.