SUSAN B. ALLEN MEMORIAL HOSPITAL
NPI 1013439926
General Practice in El Dorado, KS

Active since July 12, 2017CLIA 17D0046976 · Accreditation
720 W CENTRAL AVE, EL DORADO, KS 67042(316) 321-3300(316) 321-4810 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 23, 2025, May 16, 2024, May 7, 2024 and 1 more (4 updates tracked since 2017).

About Susan B. Allen Memorial Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN B. ALLEN MEMORIAL HOSPITAL (NPI 1013439926), doing business as Sba Medical Group, is a healthcare organization registered as a general practice in El Dorado, Kansas and active in the NPI registry since July 2017. The organization holds an CLIA Accreditation certificate valid through January 2, 2027, maintains a secondary practice location in Hillsboro, and lists Melissa Hall, Ceo, as its authorized official.

NPPES Registry Identity

NPI1013439926
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSUSAN B. ALLEN MEMORIAL HOSPITAL
Location Address720 W CENTRAL AVEEl Dorado, KS 67042-2112
Mailing Address720 W Central AveEl Dorado, KS 67042-2112
Fax(316) 321-4810
Organization SubpartNo
Authorized OfficialMelissa HallCeo · (316) 322-4558
Enumeration DateJuly 12, 2017
Last NPPES UpdateDecember 23, 20254 updates tracked since enumeration
NPPES CertifiedDecember 23, 2025
✔ NPI 1013439926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
720 W CENTRAL AVE, El Dorado, KS 67042

Other Names 1

Doing Business AsSba Medical Group

Secondary Practice Location 1

Location 1101 Industrial RdHillsboro, KS 67063-9602 · Phone (316) 321-8757

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan B. Allen Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

33

Medicare enrollment records show 33 clinicians reassign Medicare billing to Susan B. Allen Memorial Hospital, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 8 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Nurse Practitioner22
Internal Medicine4
Family Practice3
Certified Registered Nurse Anesthetist (CRNA)1
General Surgery1
Orthopedic Surgery1
Podiatry1

Nearest to this location (20)

See all 33
Nurse Practitioner
NPI 1881394500
700 W CENTRAL AVE STE 206
El Dorado, KS 67042
(316) 452-1568
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1699797878
700 W CENTRAL AVE SUITE 201
El Dorado, KS 67042
(316) 321-2100
✔ PECOS✔ Accepts Medicare1.0 mi
Internal Medicine
NPI 1962421982
700 W CENTRAL AVE SUITE 201
El Dorado, KS 67042
(316) 321-2100
✔ PECOS✔ Accepts Medicare1.0 mi
Internal Medicine
NPI 1750728838
700 W CENTRAL AVE SUITE 201
El Dorado, KS 67042
(316) 321-2100
✔ PECOS✔ Accepts Medicare1.0 mi
Family Practice
NPI 1083685291
700 W CENTRAL AVE SUITE 205
El Dorado, KS 67042
(316) 321-2010
✔ PECOS✔ Accepts Medicare1.1 mi
Internal Medicine
NPI 1245253061
700 W CENTRAL AVE SUITE 201
El Dorado, KS 67042
(316) 321-2100
✔ PECOS✔ Accepts Medicare1.1 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1982751178
720 W CENTRAL AVE STE 107
El Dorado, KS 67042
(316) 321-3300
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1477163194
1737 SE US HIGHWAY 54
El Dorado, KS 67042
(316) 322-8717
✔ PECOS✔ Accepts Medicare1.5 mi
Family Practice
NPI 1528173705
1306 STATE ST
Augusta, KS 67010
(316) 775-9191
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1427247121
2610 N WOODLAWN BLVD
Wichita, KS 67220
(316) 858-2885
✔ PECOS✔ Accepts Medicare24 mi
General Surgery
NPI 1144296096
3243 E MURDOCK ST SUITE 404
Wichita, KS 67208
(316) 685-6222
✔ PECOS✔ Accepts Medicare26 mi
Nurse Practitioner
NPI 1083239289
925 N HILLSIDE ST
Wichita, KS 67214
(316) 616-3333
✔ PECOS26 mi
Nurse Practitioner
NPI 1659625523
550 N HILLSIDE ST
Wichita, KS 67214
(316) 962-2239
✔ PECOS26 mi
Nurse Practitioner
NPI 1336676402
550 N HILLSIDE ST
Wichita, KS 67214
(316) 962-2000
✔ PECOS✔ Accepts Medicare26 mi
Nurse Practitioner
NPI 1801526033
527 N GROVE ST
Wichita, KS 67214
(316) 262-2415
✔ PECOS✔ Accepts Medicare27 mi
Nurse Practitioner
NPI 1639884612
1010 N KANSAS ST
Wichita, KS 67214
(316) 293-2635
✔ PECOS✔ Accepts Medicare27 mi
Nurse Practitioner
NPI 1295101756
347 S LAURA ST
Wichita, KS 67211
(316) 686-7117
✔ PECOS✔ Accepts Medicare28 mi
Nurse Practitioner
NPI 1912292020
848 N SAINT FRANCIS ST STE 3950
Wichita, KS 67214
(316) 268-5591
✔ PECOS✔ Accepts Medicare29 mi
Nurse Practitioner
NPI 1629266382
1602 N ELM ST
Eureka, KS 67045
(620) 583-7436
✔ PECOS✔ Accepts Medicare30 mi
Orthopedic Surgery
NPI 1669437695
1600 CHARLES PL
Manhattan, KS 66502
(785) 537-4200
✔ PECOS✔ Accepts Medicare96 mi
See all 33 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 17D0046976

Susan B Allen Memorial Hospital · El Dorado, KS
Active · expires Jan 2, 2027
CLIA Number17D0046976
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorSanjiv Prabhu
Laboratory Phone(316) 321-3300
Laboratory LocationSusan B Allen Memorial Hospital720 West Central, El Dorado, KS 67042
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan B. Allen Memorial Hospital's NPI number?

The NPI number for Susan B. Allen Memorial Hospital is 1013439926. It was assigned to this organization in the NPPES registry on July 12, 2017. The provider is doing business as SBA Medical Group.

Where is Susan B. Allen Memorial Hospital located?

Susan B. Allen Memorial Hospital is located at 720 W Central Ave, El Dorado, KS 67042. The listed phone number is (316) 321-3300.

What is Susan B. Allen Memorial Hospital's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Susan B. Allen Memorial Hospital enrolled in Medicare?

Yes. Susan B. Allen Memorial Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Susan B. Allen Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 33 clinicians in 7 Medicare specialties reassign their Medicare billing to Susan B. Allen Memorial Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (22), Internal Medicine (4) and Family Practice (3). Of these, 1 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Susan B. Allen Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 17D0046976) is associated with this NPI, valid through January 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Susan B. Allen Memorial Hospital accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. list Susan B. Allen Memorial Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan B. Allen Memorial Hospital was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.