NPIMap

Individual provider Active NPI

Joel E. Waxman, MD

  • Otolaryngology Physician
  • Ottawa, KS
National Provider Identifier
1942390398
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
0433800 Issued in KS
Practice address
1301 S Main St
Ottawa, KS 66067-3537
Phone
(785) 242-4575
Fax
(785) 229-3335
NPI assigned
Oct 14, 2006
Last updated
Jun 7, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 0433800 KS Primary

Addresses

Primary practice location

1301 S Main St
Ottawa, KS 66067-3537

Mailing address

PO Box 460
Ottawa, KS 66067-0460
Phone (785) 229-3367

Other identifiers 1

IdentifierTypeStateIssuer
200611240AMedicaidKS

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
I20090722000085 KS Practitioner - Otolaryngology 6507918521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Kansas School of Med (KC/Wich/Sal), 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians

Practice addresses (Care Compare)

3901 Rainbow Blvd
Kansas City, KS 66160-0001
Phone (913) 588-6431

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0433800KSMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Otolaryngology Current Accepting new patients
Kansas University Physicians Inc Otolaryngology CurrentSince Dec 4, 2017 Accepting new patients
Kansas University Physicians Inc CurrentSince Dec 4, 2017 Accepting new patients
Prime Healthcare Physician Services - Providence Inc Past Accepting new patients
Providence Care Inc Past Accepting new patients
Providence Care an Operating Division of Providence Medical Ctr Past Accepting new patients
Ozarks Medical Center Otolaryngology Past Accepting new patients

Locations

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930

Interoperability endpoints

  • Direct secure messaging: jwaxman580251@direct.kuha.org

Organizations & group practices 7

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 2

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": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1942390398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 460",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660670460",
            "telephone_number": "785-229-3367",
            "fax_number": "785-229-8461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S MAIN ST",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660673537",
            "telephone_number": "785-242-4575",
            "fax_number": "785-229-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAXMAN",
        "first_name": "JOEL",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-14",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KS",
            "license": "0433800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200611240A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottawa, KS

Sources for this page

Verify at the official NPI Registry.