KANSAS PEDIATRIC NEUROLOGY CENTER LLC
NPI 1184281131
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Wichita, KS

Active since May 24, 2019
10111 E 21ST ST N STE 405, WICHITA, KS 67206(316) 796-5610(316) 796-5611 Get Directions Write a Review

NPPES record last updated: May 24, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kansas Pediatric Neurology Center Llc NPPES

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

KANSAS PEDIATRIC NEUROLOGY CENTER LLC (NPI 1184281131) is a healthcare organization registered as a neurology with special qualifications in child neurology in Wichita, Kansas and active in the NPI registry since May 2019. The organization lists Bassem El-nabbout, Direct Owner, as its authorized official.

NPPES Registry Identity

NPI1184281131
Entity TypeOrganization
Primary Taxonomy2084N0402X
Legal Business NameKANSAS PEDIATRIC NEUROLOGY CENTER LLC
Location Address10111 E 21ST ST N STE 405Wichita, KS 67206-3508
Mailing Address10111 E 21st St N Ste 405Wichita, KS 67206-3508 · (316) 796-5610 · Fax (316) 796-5611
Fax(316) 796-5611
Organization SubpartNo
Authorized OfficialBassem El-nabboutDirect Owner · (316) 253-8090
Enumeration DateMay 24, 2019
NPI 1184281131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Also ListedPediatricsTaxonomy 208000000X
10111 E 21ST ST N STE 405, Wichita, KS 67206

Other Identifiers 1

MedicaidPENDINGKS

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
10111 E 21ST ST N STE 405
WICHITA, KS 67206

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 Kansas Pediatric Neurology Center LLC's NPI number?

The NPI number for Kansas Pediatric Neurology Center LLC is 1184281131. It was assigned to this organization in the NPPES registry on May 24, 2019.

Where is Kansas Pediatric Neurology Center LLC located?

Kansas Pediatric Neurology Center LLC is located at 10111 E 21st St N Ste 405, Wichita, KS 67206. The listed phone number is (316) 796-5610.

What is Kansas Pediatric Neurology Center LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

What insurance does Kansas Pediatric Neurology Center LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Kansas Pediatric Neurology Center LLC 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 Kansas Pediatric Neurology Center LLC was last updated on May 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.