NPIMap

Individual provider Active NPI

Andrew S. T. Porter, D.O., FAAFP

  • Sports Medicine (Family Medicine) Physician
  • Wichita, KS
National Provider Identifier
1962458828
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
05-31673 Issued in KS
Practice address
707 N Emporia St
Wichita, KS 67214-3707
Phone
(316) 858-3460
Fax
(316) 858-3458
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Via Christi Hospitals Wichita Inc 123 clinicians

Practice addresses (Care Compare)

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

  • Ascension Via Christi Hospitals Wichita, Inc. Hospital, Wichita, KS, CCN 170122
  • Via Christi Hospital Wichita St Teresa, Inc Hospital, Wichita, KS, CCN 170200
  • Ascension Via Christi Rehabilitation Hospital, Inc Inpatient rehabilitation facility, Wichita, KS, CCN 173028

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
I20060525000123 KS Practitioner - Sports MedicinePractitioner - Family Practice 0143231472 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05-31673KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Via Christi Hospitals Wichita Inc. Family Medicine CurrentSince Aug 15, 2011 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. CurrentSince Aug 15, 2011 Accepting new patients
Newman University Sports Medicine PastSince Jan 31, 2021 Accepting new patients
Davis County Hospital Past Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. Past Accepting new patients
Via Christi Regional Medical Center Past Accepting new patients
Via Christi Hospitals Wichita, Inc. Family Medicine Past Accepting new patients

Locations

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

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 05-31673 KS
Sports Medicine (Family Medicine) Physician 207QS0010X 05-31673 KS Primary

Addresses

NPPES NPI Registry

Primary practice location

707 N Emporia St
Wichita, KS 67214-3707

Mailing address

PO Box 1897
Wichita, KS 67201-1897
Phone (316) 268-8131

Other practice location 1

3100 W McCormick Ave
Wichita, KS 67213-2008
Phone (316) 942-4291

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 1, 2020.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1962458828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1897",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672011897",
            "telephone_number": "316-268-8131",
            "fax_number": "316-291-4788"
        },
        {
            "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": [
        {
            "address_1": "3100 W McCormick Ave",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672132008",
            "country_code": "US",
            "telephone_number": "316-942-4291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "ANDREW",
        "middle_name": "S. T.",
        "credential": "D.O., FAAFP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-31673",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "KS",
            "license": "05-31673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.