Individual provider Active NPI

Paul G Genilo, MD

  • Neurology Physician
  • Wichita, KS
National Provider Identifier
1982609681
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
04-30158 Issued in KS
Practice address
2135 N Collective LN
Wichita, KS 67206-3560
Phone
(316) 261-3220
Fax
(316) 261-3298
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Electrodiagnostic Medicine Physician 204R00000X 04-30158 KS
Neurology Physician 2084N0400X 04-30158 KS Primary

Addresses

Primary practice location

2135 N Collective LN
Wichita, KS 67206-3560

Mailing address

2135 N Collective LN
Wichita, KS 67206-3560
Phone (316) 261-3220

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pgenilo@ncks.org.direct.emds.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
I20050913001113 KS Practitioner - Neurology 2365347622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Kansas School of Med (KC/Wich/Sal), 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurology Consultants of Kansas LLCGroup PAC ID 0840222832, 11 clinicians

Practice addresses (Care Compare)

2135 N Collective LN
Wichita, KS 67206-3560
Phone (316) 261-3220

Hospital & facility affiliations

  • Ascension Via Christi Hospitals Wichita, Inc. Hospital, Wichita, KS, CCN 170122
  • Wesley Medical Center Hospital, Wichita, KS, CCN 170123
  • William Newton Hospital Hospital, Winfield, KS, CCN 171383
  • St. Catherine Hospital - Garden City Hospital, Garden City, KS, CCN 170023
  • Pratt Regional Medical Center Hospital, Pratt, KS, CCN 170027

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-30158KSMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Consultants of Kansas LLC Electrodiagnostic Medicine CurrentSince Nov 1, 2005 Accepting new patients
Kansas Imaging Consultants, PA Past Accepting new patients

Locations

2131 N Collective Ln
Wichita, KS 67206

2135 N Collective Ln
Wichita, KS 67206
Phone (316) 261-3220

Interoperability endpoints

  • Direct secure messaging: paul.genilo@khindirect.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/FJHFCD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kansas Medical CenterAndover, KS, CCN 170197 Hospital Limited Partnership Interest (0.95%) Oct 3, 2006

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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 6

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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1982609681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 N COLLECTIVE LN",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063560",
            "telephone_number": "316-261-3220",
            "fax_number": "316-261-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 N COLLECTIVE LN",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063560",
            "telephone_number": "316-261-3220",
            "fax_number": "316-261-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENILO",
        "first_name": "PAUL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "",
            "desc": "Electrodiagnostic Medicine",
            "state": "KS",
            "license": "04-30158",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KS",
            "license": "04-30158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pgenilo@ncks.org.direct.emds.com",
            "affiliation": "N",
            "address_1": "2135 N Collective Ln",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672063560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.