Omar Elfanagely, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

04-53183 Issued in KS

Practice address

1923 N Greenwich Rd
Wichita, KS 67206-3104

Phone

(316) 305-9618

NPI assigned

Jun 12, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: oelfanagely47785@epicdirect.rwjbh.org
• Direct secure messaging: omar.elfanagely@upmcdirect.com

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.

• Kansas Plastic Surgery, LLC

  • Plastic Surgery Physician
  • Wichita, KS
  • NPI 1720523251
  NPD
• Shaw Plastic Surgery, LLC

  • Plastic Surgery Physician
  • Wichita, KS
  • NPI 1174973606
  NPD (past)

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1932639093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 N GREENWICH RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 N GREENWICH RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063104",
            "telephone_number": "316-305-9618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELFANAGELY",
        "first_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-12",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "KS",
            "license": "04-53183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla R Eldridge
• Stephanie Eldridge
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• Elevated Minds Counseling LLC
• Eleven-Twelve Company
• Georges Elhomsy, MD
• Yvonne Elias-Moussa, PHARMACIST
• Elite Adult Living LLC
• Elite Diagnostic Imaging LLC
• Elite Home Care LLC

• Plastic Surgery Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Plastic Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.