MOBILE MEDICAL, LLC
NPI 1366727463
Family Medicine in Wichita, KS

Active since October 20, 2011CLIA 17D2056134 · Waiver
345 N RIVERVIEW ST STE 500, WICHITA, KS 67203(316) 616-1055(855) 633-0585 Get Directions Write a Review

NPPES record last updated: September 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 13, 2025, Jun 29, 2024, Dec 14, 2022 and 6 more (9 updates tracked since 2018).

About Mobile Medical, Llc NPPES

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

MOBILE MEDICAL, LLC (NPI 1366727463) is a healthcare organization registered as a family medicine in Wichita, Kansas and active in the NPI registry since October 2011. The organization holds a CLIA Waiver certificate valid through March 21, 2027, maintains 2 additional practice locations, and lists Brent Sanders, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366727463
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMOBILE MEDICAL, LLC
Location Address345 N RIVERVIEW ST STE 500Wichita, KS 67203-4265
Mailing Address345 N Riverview St Ste 412Wichita, KS 67203-4202 · (551) 295-8223
Fax(855) 633-0585
Organization SubpartNo
Authorized OfficialBrent SandersCeo · (316) 616-1055
Enumeration DateOctober 20, 2011
Last NPPES UpdateSeptember 13, 20259 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2025
NPI 1366727463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
345 N RIVERVIEW ST STE 500, Wichita, KS 67203

Secondary Practice Locations 2

Location 1117 S Lexington St Ste 100Harrisonville, MO 64701-2444 · Phone (316) 616-1055 · Fax (855) 633-0585
Location 2801 E Douglas Ave Fl 2ndWichita, KS 67202-3515 · Phone (551) 295-8223

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

Accepted Insurance

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 17D2056134

Mobile Medical, LLC · Wichita, KS
Active · expires Mar 21, 2027
CLIA Number17D2056134
Laboratory TypeMobile Laboratory
Certificate Effective DateMarch 22, 2025
Certificate Expiration DateMarch 21, 2027
Laboratory DirectorAngie King
Laboratory Phone(316) 992-7900
Laboratory LocationMobile Medical, LLC345 Riverview St, S-500, Wichita, KS 67203
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

Nurse Practitioner (Family)
345 N RIVERVIEW ST STE 500
WICHITA, KS 67203
Nurse Practitioner (Family)
345 N RIVERVIEW ST STE 500
WICHITA, KS 67203
Nurse Practitioner (Family)
345 N RIVERVIEW ST STE 500
WICHITA, KS 67203
Nurse Practitioner (Family)
345 N RIVERVIEW ST STE 500
WICHITA, KS 67203
Nurse Practitioner (Family)
345 N RIVERVIEW ST STE 500
WICHITA, KS 67203
Nurse Practitioner (Family)
345 N RIVERVIEW ST STE 500
WICHITA, KS 67203
Nurse Practitioner (Family)
345 N RIVERVIEW ST STE 500
WICHITA, KS 67203
Internal Medicine
345 N RIVERVIEW ST STE 500
WICHITA, KS 67203

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 Mobile Medical, LLC's NPI number?

The NPI number for Mobile Medical, LLC is 1366727463. It was assigned to this organization in the NPPES registry on October 20, 2011.

Where is Mobile Medical, LLC located?

Mobile Medical, LLC is located at 345 N Riverview St Ste 500, Wichita, KS 67203. The listed phone number is (316) 616-1055.

What is Mobile Medical, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Mobile Medical, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2056134) is associated with this NPI, valid through March 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mobile Medical, 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 Mobile Medical, 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 Mobile Medical, LLC was last updated on September 13, 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.