Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Lydia R Renich, PA

Individual provider Physician Assistant · NPI 1659564409

MS. Lydia R Renich, PA is a Physician Assistant in Wichita, Kansas. Qualified in 2005, 21 years ago. Practices with Kansas Gastroenterology LLC, a 20-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kansas.

Years since qualifying
21
Licensed in
KS
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3121 N Webb Rd Ste 101
Wichita, KS 67226-8119
Phone: (316) 261-3130
Fax: (316) 261-3275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15-01082 (KS)

Record details

NPI number1659564409
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 24, 2007
Last updated in NPPESMay 13, 2021
Certification dateMarch 31, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Kansas Gastroenterology Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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