Organization Active NPI

Northwest Family Physicians, LLC

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1982607701
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4812412405 Issued in KS
Legal business name
NORTHWEST FAMILY PHYSICIANS, LLC
Practice address
3730 N Ridge Rd
Ste 100
Wichita, KS 67205-1228
Phone
(316) 462-6200
Fax
(316) 462-6214
NPI assigned
May 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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

Authorized official

Name
Mrs. Heather DB Steinert
Title
Office Manager
Phone
(316) 462-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 4812412405 KS Primary

Addresses

Primary practice location

3730 N Ridge Rd
Ste 100
Wichita, KS 67205-1228

Mailing address

3730 N Ridge Rd
Ste 100
Wichita, KS 67205-1228
Phone (316) 462-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040419000034 KS Part B Supplier - Clinic/Group Practice 9133114218 Receives reassigned benefits from 9 practitioners
Practice locations: Wichita, KS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D0922600Northwest Family Physicians3730 N Ridge Road, Suite 100, Wichita, KS 67205Certificate of waiverAug 31, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1982607701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 N RIDGE RD",
            "address_2": "STE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051228",
            "telephone_number": "316-462-6200",
            "fax_number": "316-462-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 N RIDGE RD",
            "address_2": "STE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051228",
            "telephone_number": "316-462-6200",
            "fax_number": "316-462-6214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST FAMILY PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "STEINERT",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "DB",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "316-462-6200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "4812412405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.