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CONCIERGE MEDICINE OF WICHITA LLC
NPI 1326399205
Internal Medicine in Wichita, KS

Active since October 02, 2012
9449 E 21ST ST N, STE. 200, WICHITA, KS 67206(316) 462-1070(316) 462-1078 Get Directions Write a Review

NPPES record last updated: November 9, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Concierge Medicine Of Wichita Llc NPPES

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

CONCIERGE MEDICINE OF WICHITA LLC (NPI 1326399205) is a healthcare organization registered as an internal medicine in Wichita, Kansas and active in the NPI registry since October 2012. The organization lists Aly A Gadalla, Owner, as its authorized official.

NPPES Registry Identity

NPI1326399205
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCONCIERGE MEDICINE OF WICHITA LLC
Location Address9449 E 21ST ST N, STE. 200Wichita, KS 67206-2969
Mailing Address9449 E 21st St N, Ste. 200Wichita, KS 67206-2969 · (316) 462-1070 · Fax (316) 462-1078
Phone(316) 462-1070
Fax(316) 462-1078
Organization SubpartNo
Authorized OfficialAly A GadallaOwner · (316) 462-1070
Enumeration DateOctober 2, 2012
Last NPPES UpdateNovember 9, 2012
✔ NPI 1326399205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KS · 04-29832
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
9449 E 21ST ST N, Wichita, KS 67206
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Other Identifiers 2

MedicaidPENDINGKS
Medicare PINPENDINGKS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Concierge Medicine Of Wichita Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Concierge Medicine Of Wichita LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Aly Gadalla, MD
Internal Medicine
NPI 1083693634
1861 N ROCK RD STE 100
Wichita, KS 67206
(316) 462-1070
✔ PECOS✔ Accepts Medicare1.0 mi

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

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 Concierge Medicine Of Wichita LLC's NPI number?

The NPI number for Concierge Medicine Of Wichita LLC is 1326399205. It was assigned to this organization in the NPPES registry on October 2, 2012.

Where is Concierge Medicine Of Wichita LLC located?

Concierge Medicine Of Wichita LLC is located at 9449 E 21st St N Ste. 200, Wichita, KS 67206. The listed phone number is (316) 462-1070.

What is Concierge Medicine Of Wichita LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Concierge Medicine Of Wichita LLC enrolled in Medicare?

Yes. Concierge Medicine Of Wichita LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Concierge Medicine Of Wichita LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Concierge Medicine Of Wichita LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Concierge Medicine Of Wichita LLC was last updated on November 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.