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WICHITA UROLOGY GROUP P.A.
NPI 1639157498
Urology in Wichita, KS

Active since January 03, 2006CLIA 17D0451969 · Certificate of Compliance
2626 N WEBB RD, WICHITA, KS 67226(316) 636-6100(316) 636-5813 Get Directions Write a Review

NPPES record last updated: June 28, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wichita Urology Group P.a. NPPES

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

WICHITA UROLOGY GROUP P.A. (NPI 1639157498) is a healthcare organization registered as an urology in Wichita, Kansas and active in the NPI registry since January 2006. The organization holds a CLIA Certificate of Compliance certificate valid through August 31, 2028 and lists Twila Puritty, Ceo - Administrator, as its authorized official.

NPPES Registry Identity

NPI1639157498
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameWICHITA UROLOGY GROUP P.A.
Location Address2626 N WEBB RDWichita, KS 67226-8110
Mailing Address2626 N Webb RdWichita, KS 67226-8110 · (316) 636-6100 · Fax (316) 636-5813
Phone(316) 636-6100
Fax(316) 636-5813
Organization SubpartNo
Authorized OfficialTwila PurittyCeo - Administrator · (316) 636-6116
Enumeration DateJanuary 3, 2006
Last NPPES UpdateJune 28, 2018
✔ NPI 1639157498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
2626 N WEBB RD, Wichita, KS 67226
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Other Identifiers 1

Medicaid100410100AKS

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

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wichita Urology Group P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

28

Medicare enrollment records show 28 clinicians reassign Medicare billing to Wichita Urology Group P.A., which bills Medicare for the services they deliver. Of these, 18 practice at this address and 25 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Urology15
Nurse Practitioner6
Diagnostic Radiology3
Radiation Oncology3
Nuclear Medicine1

Nearest to this location (20)

See all 28
Shandi Husen, APRN, FNP-C
Nurse Practitioner
NPI 1518469428
2626 N WEBB RD
Wichita, KS 67226
(316) 636-6100
✔ PECOS✔ Accepts MedicareSame address
Jonathan Jensen, M.D.
Urology
NPI 1760825137
2626 N WEBB RD
Wichita, KS 67226
(316) 636-6120
✔ PECOS✔ Accepts MedicareSame address
Stephanie Mcclenny, APRN
Nurse Practitioner
NPI 1093476574
2626 N WEBB RD
Wichita, KS 67226
(316) 636-6100
✔ PECOS✔ Accepts MedicareSame address
Philippe Nabbout, MD
Urology
NPI 1811276801
2626 N WEBB RD
Wichita, KS 67226
(316) 636-6100
✔ PECOS✔ Accepts MedicareSame address
Trang Pham, M.D.
Urology
NPI 1932596681
2626 N WEBB RD
Wichita, KS 67226
(316) 636-6100
✔ PECOSSame address
Ayham Farha, MD
Urology
NPI 1982682753
2626 N WEBB RD
Wichita, KS 67226
(316) 636-6100
✔ PECOS✔ Accepts MedicareSame address
James Gilbaugh, MD
Urology
NPI 1952389728
2626 N WEBB RD
Wichita, KS 67226
(316) 636-6100
✔ PECOSSame address
Jordan Stiverson, MD
Urology
NPI 1891321378
2626 N WEBB RD
Wichita, KS 67226
(316) 636-6100
✔ PECOS✔ Accepts MedicareSame address
Jeffrey Davis, MD
Urology
NPI 1073773008
2626 N WEBB RD
Wichita, KS 67226
(316) 636-6100
✔ PECOS✔ Accepts MedicareSame address
Gregory Byrd, MD
Urology
NPI 1376619734
2626 N WEBB RD
Wichita, KS 67226
(316) 636-6100
✔ PECOS✔ Accepts MedicareSame address
Fadi Joudi, MD
Urology
NPI 1427050079
2626 N WEBB RD
Wichita, KS 67226
(316) 636-6100
✔ PECOS✔ Accepts MedicareSame address
Timothy Richardson, MD
Urology
NPI 1508985417
2626 N WEBB RD
Wichita, KS 67226
(316) 636-6100
✔ PECOS✔ Accepts MedicareSame address
George Zakharia, MD
Urology
NPI 1174501951
2626 N WEBB RD
Wichita, KS 67226
(316) 636-6100
✔ PECOS✔ Accepts MedicareSame address
Kelsie Hoffman, APRN
Nurse Practitioner
NPI 1548098536
2626 N WEBB RD
Wichita, KS 67226
(316) 636-6100
✔ PECOS✔ Accepts MedicareSame address
Taylor Johnson, APRN
Nurse Practitioner
NPI 1023770757
2626 N WEBB RD
Wichita, KS 67226
(316) 636-6120
✔ PECOS✔ Accepts MedicareSame address
Kahlil Saad, M.D.
Urology
NPI 1023351905
2626 N WEBB RD
Wichita, KS 67226
(316) 636-6100
✔ PECOS✔ Accepts MedicareSame address
Kenneth Schmanke, MD
Urology
NPI 1316571623
2626 N WEBB RD
Wichita, KS 67226
(316) 636-6100
✔ PECOS✔ Accepts MedicareSame address
Madison Shryock, APRN, NP-C
Nurse Practitioner
NPI 1407537996
2626 N WEBB RD
Wichita, KS 67226
(316) 636-6100
✔ PECOS✔ Accepts MedicareSame address
Christopher Baalmann, M.D.
Diagnostic Radiology
NPI 1992099113
9300 E 29TH ST N STE 206
Wichita, KS 67226
(316) 260-6763
✔ PECOS✔ Accepts Medicare0.6 mi
Joshua Weir, D.O., M.B.A., M.S.
Radiation Oncology
NPI 1790102671
2077 N WEBB RD
Wichita, KS 67206
(316) 685-1367
✔ PECOS✔ Accepts Medicare0.7 mi
See all 28 clinicians

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 Compliance 17D0451969

Wichita Urology Group · Wichita, KS
Active · expires Aug 31, 2028
CLIA Number17D0451969
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorHana A. Razek
Laboratory Phone(316) 636-6138
Laboratory LocationWichita Urology Group2626 N Webb Rd, Wichita, KS 67226
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Wichita Urology Group P.A.'s NPI number?

The NPI number for Wichita Urology Group P.A. is 1639157498. It was assigned to this organization in the NPPES registry on January 3, 2006.

Where is Wichita Urology Group P.A. located?

Wichita Urology Group P.A. is located at 2626 N Webb Rd, Wichita, KS 67226. The listed phone number is (316) 636-6100.

What is Wichita Urology Group P.A.'s specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Wichita Urology Group P.A. enrolled in Medicare?

Yes. Wichita Urology Group P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wichita Urology Group P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 5 Medicare specialties reassign their Medicare billing to Wichita Urology Group P.A.. 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. The largest specialties are Urology (15), Nurse Practitioner (6) and Diagnostic Radiology (3). Of these, 18 practice at this address and 25 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wichita Urology Group P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 17D0451969) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wichita Urology Group P.A. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 31 other insurers list Wichita Urology Group P.A. 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 Wichita Urology Group P.A. was last updated on June 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.