VITREO-RETINAL CONSULTANTS & SURGEONS PA
NPI 1275557761
Ophthalmology - Retina Specialist in Wichita, KS
About Vitreo-retinal Consultants & Surgeons Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VITREO-RETINAL CONSULTANTS & SURGEONS PA (NPI 1275557761) is a healthcare organization registered as a retina specialist in Wichita, Kansas and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 19, 2027 and lists Judy A Marek, Practice Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vitreo-retinal Consultants & Surgeons Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Vitreo-Retinal Consultants & Surgeons PA, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
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 Waiver 17D0451840
Vitreo Retinal Consultants & Surgeons · Wichita, KSFrequently 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 Vitreo-Retinal Consultants & Surgeons PA's NPI number?
The NPI number for Vitreo-Retinal Consultants & Surgeons PA is 1275557761. It was assigned to this organization in the NPPES registry on July 27, 2006.
Where is Vitreo-Retinal Consultants & Surgeons PA located?
Vitreo-Retinal Consultants & Surgeons PA is located at 530 N Lorraine St, Wichita, KS 67214. The listed phone number is (316) 683-5611.
What is Vitreo-Retinal Consultants & Surgeons PA's specialty?
The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.
Is Vitreo-Retinal Consultants & Surgeons PA enrolled in Medicare?
Yes. Vitreo-Retinal Consultants & Surgeons PA is registered in the Medicare PECOS enrollment system.
When is Vitreo-Retinal Consultants & Surgeons PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Kansas, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Vitreo-Retinal Consultants & Surgeons PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Ophthalmology, reassign their Medicare billing to Vitreo-Retinal Consultants & Surgeons PA. 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. Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Vitreo-Retinal Consultants & Surgeons PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 17D0451840) is associated with this NPI, valid through August 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Vitreo-Retinal Consultants & Surgeons PA 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 Vitreo-Retinal Consultants & Surgeons PA 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 Vitreo-Retinal Consultants & Surgeons PA was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Vitreo-Retinal Consultants & Surgeons Pa · NPI 1275557761
Retina Specialist organization in Wichita, Kansas. Organization record, active in the CMS NPPES registry since July 27, 2006.
## Identity
- **NPI:** 1275557761 (Entity type: Organization)
- **Enumerated:** July 27, 2006
- **Primary specialty:** Ophthalmology - Retina Specialist · taxonomy 207WX0107X
- **Organization subpart:** No
- **Authorized official:** Judy Marek, PRACTICE ADMINISTRATOR
## Practice location
- **Address:** 530 N LORRAINE ST, Wichita, KS 67214-4837
- **Phone:** (316) 683-5611 · **Fax:** (316) 683-0294
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Kansas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians (Ophthalmology) reassign Medicare billing to this organization (form CMS-855R); 5 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 11, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1275557761) · Data from the CMS NPPES public registry.