| Vigilias LLC | |
|
4704 E Oakland Wichita KS 67218-1180 | |
| (800) 924-8140 | |
| (316) 789-6210 |
| Full Name | Vigilias LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 4704 E Oakland, Wichita, Kansas |
| Authorized Official Name and Position | Elisha Yaghmai (PRESIDENT) |
| Authorized Official Contact | 8009248140 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vigilias LLC 4704 E Oakland Wichita KS 67218-1180 Ph: (800) 924-8140 | Vigilias LLC 4704 E Oakland Wichita KS 67218-1180 Ph: (800) 924-8140 |
| NPI Number | 1407242241 |
|---|---|
| Provider Enumeration Date | 04/08/2015 |
| Last Update Date | 02/23/2018 |
| Medicare PECOS PAC ID | 9133433279 |
|---|---|
| Medicare Enrollment ID | O20150803000538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407242241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 04-33447 (Kansas) | Primary |
| 208000000X | Pediatrics | 04-33447 (Kansas) | Secondary |
| Provider Name | Rahul Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548216567 PECOS PAC ID: 9537065883 Enrollment ID: I20031209000405 |
| Provider Name | John D Flesher |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1962469957 PECOS PAC ID: 9133191828 Enrollment ID: I20040812000327 |
| Provider Name | Jeanette Weiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528062262 PECOS PAC ID: 6901875491 Enrollment ID: I20041119000470 |
| Provider Name | Valerie a Creswell |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780608034 PECOS PAC ID: 0042250953 Enrollment ID: I20050510001103 |
| Provider Name | Belinda L Childs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609969757 PECOS PAC ID: 3870535404 Enrollment ID: I20050524001204 |
| Provider Name | Harold L Perkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427014430 PECOS PAC ID: 3971545385 Enrollment ID: I20050525001152 |
| Provider Name | James T Prescott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548352644 PECOS PAC ID: 4981628641 Enrollment ID: I20060120000292 |
| Provider Name | Karen Lehman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992984645 PECOS PAC ID: 5698856656 Enrollment ID: I20080115000830 |
| Provider Name | Rebekah Vallejos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174729636 PECOS PAC ID: 1850467242 Enrollment ID: I20080909000393 |
| Provider Name | Carl Anschutz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427270750 PECOS PAC ID: 3375694565 Enrollment ID: I20090629000486 |
| Provider Name | Rhanda Marie M Eboh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871715086 PECOS PAC ID: 5193857233 Enrollment ID: I20100724000291 |
| Provider Name | Iram a Sirajuddin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386819738 PECOS PAC ID: 1557550118 Enrollment ID: I20110112000848 |
| Provider Name | Elisha Yaghmai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063618544 PECOS PAC ID: 6507040698 Enrollment ID: I20110414000357 |
| Provider Name | Daniel W Ross |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538163506 PECOS PAC ID: 9931003696 Enrollment ID: I20130418000459 |
| Provider Name | Sapna Ann Shah-haque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881906592 PECOS PAC ID: 2163679184 Enrollment ID: I20131028000195 |
| Provider Name | Melanie Glenn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952574907 PECOS PAC ID: 0547497323 Enrollment ID: I20131227000262 |
| Provider Name | Patricia Lee Barker Little |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659632495 PECOS PAC ID: 5991952384 Enrollment ID: I20140403000611 |
| Provider Name | Melvin Kile Viney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629207931 PECOS PAC ID: 7416009352 Enrollment ID: I20140522000116 |
| Provider Name | Joshua Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295149086 PECOS PAC ID: 0648496356 Enrollment ID: I20140731002721 |
| Provider Name | Ryan Luong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225320583 PECOS PAC ID: 0941449771 Enrollment ID: I20150113001423 |
| Provider Name | Dennis O Oyieng'o |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629207766 PECOS PAC ID: 6608095781 Enrollment ID: I20150722004360 |
| Provider Name | Hannah D Bingham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912344094 PECOS PAC ID: 8921242942 Enrollment ID: I20150819008711 |
| Provider Name | Justin G Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992066864 PECOS PAC ID: 1254581275 Enrollment ID: I20150819009462 |
| Provider Name | Jennifer M Akins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497121156 PECOS PAC ID: 9931416336 Enrollment ID: I20150917001069 |
| Provider Name | Tu Anh Thi Luong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528320991 PECOS PAC ID: 2567603830 Enrollment ID: I20151006001863 |
| Provider Name | Michael M Katunzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295101756 PECOS PAC ID: 1456651678 Enrollment ID: I20151119001970 |
| Provider Name | Tara L Richardson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033558820 PECOS PAC ID: 4385885441 Enrollment ID: I20160121002576 |
| Provider Name | Margaret Burghart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518330604 PECOS PAC ID: 6709184385 Enrollment ID: I20160414001704 |
| Provider Name | Jamie Marie Jellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669833125 PECOS PAC ID: 1052601242 Enrollment ID: I20160531001419 |
| Provider Name | Sara Courtney Patterson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699134981 PECOS PAC ID: 9537459466 Enrollment ID: I20160606002576 |
| Provider Name | Rachel-anne M Magsalin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669819199 PECOS PAC ID: 2365736246 Enrollment ID: I20160816001697 |
| Provider Name | Carey Jo Wettstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437501418 PECOS PAC ID: 2365734100 Enrollment ID: I20170221000365 |
| Provider Name | Casey Jeanette Wettstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962854604 PECOS PAC ID: 2668756560 Enrollment ID: I20170227001886 |
| Provider Name | Vincent O Mogoi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386181832 PECOS PAC ID: 5294010070 Enrollment ID: I20170317000112 |
| Provider Name | Carla G Benjamin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083969802 PECOS PAC ID: 3274801022 Enrollment ID: I20170620000331 |
| Provider Name | Raul D Lastimosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205244092 PECOS PAC ID: 5597031021 Enrollment ID: I20171027000046 |
| Provider Name | Zohaib Sohail |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588070312 PECOS PAC ID: 3173740818 Enrollment ID: I20171129001654 |
| Provider Name | Cyrus M Munguti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235511247 PECOS PAC ID: 8325354087 Enrollment ID: I20180712001520 |
| Provider Name | Erik a Calderon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790165728 PECOS PAC ID: 2769796846 Enrollment ID: I20190529001511 |
| Provider Name | Humayun Ashraf |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184980765 PECOS PAC ID: 9133449937 Enrollment ID: I20190610000270 |
| Provider Name | Leen Awad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700332897 PECOS PAC ID: 9234464371 Enrollment ID: I20190711003399 |
| Provider Name | Khalid Barakat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164970414 PECOS PAC ID: 8224363221 Enrollment ID: I20190712002208 |
| Provider Name | Jacob L Cloward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962931873 PECOS PAC ID: 2466723788 Enrollment ID: I20190715001817 |
| Provider Name | Monica C Quinn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114260676 PECOS PAC ID: 4587966817 Enrollment ID: I20190805001718 |
| Provider Name | Moh'd Al-halawani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003204629 PECOS PAC ID: 9739489113 Enrollment ID: I20190923000167 |
| Provider Name | Patricia Adrea Kanhai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750932091 PECOS PAC ID: 3870927726 Enrollment ID: I20191231000187 |
| Provider Name | Obiageli C Sogbetun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477702082 PECOS PAC ID: 3274789292 Enrollment ID: I20200212002057 |
| Provider Name | Bessy E George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659639748 PECOS PAC ID: 1052600715 Enrollment ID: I20200402001545 |
| Provider Name | Rajaram Pattar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386165702 PECOS PAC ID: 6608115845 Enrollment ID: I20200908000097 |
| Provider Name | Justin Thomas Helberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750879045 PECOS PAC ID: 7719239599 Enrollment ID: I20210721000289 |
| Provider Name | Thamer Sartawi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639540669 PECOS PAC ID: 3375814296 Enrollment ID: I20210812002958 |
| Provider Name | Deshanett L Clay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558891358 PECOS PAC ID: 0749551067 Enrollment ID: I20210831000807 |
| Provider Name | Sasha Lynn Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093477705 PECOS PAC ID: 0648661397 Enrollment ID: I20220106002316 |
| Provider Name | Kenneth Roy Pendergrast |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255304697 PECOS PAC ID: 7719073410 Enrollment ID: I20220421001390 |
| Provider Name | Eric Acosta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730702176 PECOS PAC ID: 6406276179 Enrollment ID: I20220427000591 |
| Provider Name | Melandrea L Worsley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902301328 PECOS PAC ID: 6406238047 Enrollment ID: I20220729000678 |
| Provider Name | Krunal Raval |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578903365 PECOS PAC ID: 5698071462 Enrollment ID: I20230522003408 |
| Provider Name | David D Masolak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205451085 PECOS PAC ID: 5991120164 Enrollment ID: I20230913000678 |
| Provider Name | Nicole Dyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053499426 PECOS PAC ID: 8729971189 Enrollment ID: I20240401002071 |
| Provider Name | Jeryl Philip Varughese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952898819 PECOS PAC ID: 5698115186 Enrollment ID: I20240501001728 |
| Provider Name | Heidi E Koschwanez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962132852 PECOS PAC ID: 5092196758 Enrollment ID: I20240522003113 |
| Provider Name | Nkechinyere Emejuaiwe |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1952449894 PECOS PAC ID: 4981741667 Enrollment ID: I20240607001614 |
| Provider Name | Craig Beavers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447830823 PECOS PAC ID: 8426439860 Enrollment ID: I20240730002081 |
| Provider Name | Srinivas Bhadriraju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790796084 PECOS PAC ID: 1759363989 Enrollment ID: I20240801003914 |
| Provider Name | Hiwot Gobezie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326677196 PECOS PAC ID: 5597115733 Enrollment ID: I20240820000434 |
| Provider Name | Nebiyu Biru |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780983320 PECOS PAC ID: 8426274929 Enrollment ID: I20240920001373 |
| Provider Name | Yazan Abdeen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679983605 PECOS PAC ID: 6800101593 Enrollment ID: I20241021002441 |
| Provider Name | Jawad Abukhalaf |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1629491006 PECOS PAC ID: 2769602523 Enrollment ID: I20241028002583 |
| Provider Name | Mahmoud Mahafzah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649434887 PECOS PAC ID: 6608008917 Enrollment ID: I20241202002665 |
| Provider Name | Abdalla Fadda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467682021 PECOS PAC ID: 1951558394 Enrollment ID: I20241203000718 |
| Provider Name | Deborah Rose |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023646411 PECOS PAC ID: 8022544394 Enrollment ID: I20241210002411 |
| Provider Name | Sam Alnajjar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972612158 PECOS PAC ID: 9537223524 Enrollment ID: I20241210004289 |
| Provider Name | Joshua M Jacobson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427474964 PECOS PAC ID: 5092004929 Enrollment ID: I20250102001908 |
| Provider Name | Joud Zakhour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184292542 PECOS PAC ID: 3476951088 Enrollment ID: I20250205000455 |
| Provider Name | Whitney L Chancia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215620539 PECOS PAC ID: 7719347731 Enrollment ID: I20250331001772 |
| Provider Name | Moh'd Hazem Azzam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902185135 PECOS PAC ID: 4284805433 Enrollment ID: I20250715002149 |
| Provider Name | Leslie Moats |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760453153 PECOS PAC ID: 9436138633 Enrollment ID: I20250724000965 |
| Provider Name | Jordan Marshall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841816840 PECOS PAC ID: 1355766528 Enrollment ID: I20250820004215 |
| Provider Name | Gilmar Costa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023757531 PECOS PAC ID: 0345621777 Enrollment ID: I20250923000927 |
| Provider Name | Lawrence Zhou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992372734 PECOS PAC ID: 5991109118 Enrollment ID: I20251007003112 |
| Provider Name | Davy Shepherd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457810715 PECOS PAC ID: 1850761487 Enrollment ID: I20251030004515 |
| Provider Name | David M Maundu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902594450 PECOS PAC ID: 6507226610 Enrollment ID: I20260109003169 |
| Provider Name | Samuel Kimani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053576496 PECOS PAC ID: 8628203882 Enrollment ID: I20260228000931 |
| Provider Name | Nyama Jacobi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265695217 PECOS PAC ID: 4789853714 Enrollment ID: I20260513000354 |
| Provider Name | Abay Ayalew Gobezie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700574340 PECOS PAC ID: 8426527938 Enrollment ID: I20260514000612 |
| Provider Name | Eric Spicuzza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629505680 PECOS PAC ID: 9537560719 Enrollment ID: I20260604001394 |
Form Associates, P.A. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 E Douglas Ave Fl 2, Wichita, KS 67202 Phone: 617-505-1520 Fax: 617-928-8401 |
Restoration Health, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10616 W Maple St Ste 500, Wichita, KS 67209 Phone: 316-500-1250 Fax: 833-764-5987 |
Primary Care Associates, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7111 E 21st St N Ste A, Wichita, KS 67206 Phone: 316-684-2851 |
Substance Abuse at Hunter Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2318 E Central Ave, Wichita, KS 67214 Phone: 316-262-3611 Fax: 316-262-0741 |
Freestate Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4723 E Douglas Ave, Wichita, KS 67218 Phone: 888-505-1776 Fax: 888-505-1776 |
Centerwell Senior Primary Care (KS) PA - Parklane Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 961 S Glendale St, Wichita, KS 67218 Phone: 316-618-9555 |