Chamil Fernando
Individual provider Active NPI Medical Physician Assistant · Wichita, KS
NPI 1003776337 · NPPES record last updated Nov 18, 2025
Key facts
- NPI
- 1003776337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 15-03186 (KS)
- Practice address
- 3417 S Meridian Ave
Wichita, KS 67217-2151 - Phone
- (316) 866-2078
- NPI assigned
- Nov 18, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gracemed Health Clinic Inc
Practice addresses (Care Compare)
1122 N Topeka St
Wichita, KS 67214-2810
Phone (316) 866-2000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251229000191 | KS | Practitioner - Physician Assistant | 5698261790 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15-03186 | KS | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gracemed Health Clinic Inc | Current |
Accepting new patients | |
| Gracemed Health Clinic, Inc | Current |
Accepting new patients |
Locations
1122 N Topeka St
Wichita, KS 67214
Phone (316) 263-7455
1150 N Broadway Ave
Wichita, KS 67214
3417 S Meridian Ave
Wichita, KS 67217
Phone (316) 866-2078
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 15-03186 | KS | Yes |
Addresses
Primary practice location
3417 S Meridian Ave
Wichita, KS 67217-2151
Mailing address
1150 N Broadway Ave
Wichita, KS 67214-2805
Phone (316) 866-2075
Other practice location 1
1122 N Topeka St
Wichita, KS 67214-2810
Phone (316) 866-2000
Other providers in Wichita, KS
- Sierra Ferguson
- Sondra Kay Ferguson
- Fernanda Fernanda Reyes
- Amy Ruth Fernandez-Paris
- Paige Lynn Fernandez
- Kylie Ferrer
- Jenna Ferricher
- Bruce G. Ferris
- Deana Marie Ferris
- Ronald C Ferris
All providers in Wichita, KS · Medical Physician Assistant in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.