DR. TIFFANY BOUDDHARA MD
NPI 1558045492
Obstetrics & Gynecology in Wichita, KS

Q: What is Tiffany Bouddhara's NPI number?

The NPI number for Tiffany Bouddhara is 1558045492. It was assigned to this individual provider in the NPPES registry on June 12, 2023.

Q: What is Tiffany Bouddhara's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Tiffany Bouddhara was last updated on June 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 12, 2023PECOS Enrolled

1010 N KANSAS ST, WICHITA, KS 67214(316) 293-2665 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Tiffany Bouddhara Md NPPES

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

DR. TIFFANY BOUDDHARA MD (NPI 1558045492) is an individual obstetrics & gynecology provider in Wichita, Kansas, licensed in Kansas (94-11585) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558045492

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. TIFFANY BOUDDHARACredential: MD

Location Address1010 N KANSAS STWichita, KS 67214-3124

Mailing Address1010 N Kansas StWichita, KS 67214-3124 · (316) 293-2665

Phone(316) 293-2665

Sole ProprietorNo

Enumeration DateJune 12, 2023

NPPES CertifiedJune 12, 2023

✔ NPI 1558045492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in KS · 94-11585

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1010 N KANSAS ST, Wichita, KS 67214

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tiffany Bouddhara Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$122.41 typical visit price

range $53.00 – $161.67

Typical copayment $30.60 (range $13.25 – $40.41)

Most-billed visit code 99204

Established Patient

$66.40 typical visit price

range $16.88 – $132.11

Typical copayment $16.60 (range $4.22 – $33.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

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