Individual provider Active NPI

Paul C Pappademos, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Wichita, KS
National Provider Identifier
1013984699
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
04-29323 Issued in KS
Practice address
9828 E Shannon Woods Cir # 100
Wichita, KS 67226-4100
Phone
(316) 631-1600
Fax
(316) 631-1617
NPI assigned
Mar 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 04-29323 KS Primary

Addresses

Primary practice location

9828 E Shannon Woods Cir # 100
Wichita, KS 67226-4100

Mailing address

9828 E Shannon Woods Cir # 100
Wichita, KS 67226-4100
Phone (316) 631-1600

Other identifiers 1

IdentifierTypeStateIssuer
200332890AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050803001175 KS Practitioner - Orthopedic SurgeryPractitioner - Other (Physician) 0648233502 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-29323KSMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Orthopaedic Associates, PA CurrentSince Aug 1, 2005 Accepting new patients
Wesley Pathology Consultants PA Current Accepting new patients
Advanced Orthopaedic Associates, P.a. Adult Reconstructive Orthopaedic Surgery CurrentSince Aug 1, 2005 Accepting new patients
Anderson Clinic LLC Adult Reconstructive Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Major Hospital Past Accepting new patients
Anderson Clinic LLC Adult Reconstructive Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Anderson Clinic LLC PastSince Jan 1, 1990 Accepting new patients
Anderson Clinic LLC PastSince Jan 1, 1990 Accepting new patients
Anderson Clinic LLC Adult Reconstructive Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients
Anderson Clinic LLC PastSince Jan 1, 1990 Accepting new patients
Anderson Clinic LLC PastSince Jan 1, 1990 Accepting new patients

Locations

2778 N Webb Rd
Wichita, KS 67226
Phone (316) 631-1600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIHFAA
  • Direct secure messaging: ppappademos@aoaortho.emadirect.md

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kansas Surgery and Recovery CenterWichita, KS, CCN 170183 Hospital Limited Partnership Interest (1.48%) Dec 14, 2005

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Kansas School of Med (KC/Wich/Sal), 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Orthopaedic Associates, P.a. 47 clinicians

Practice addresses (Care Compare)

1323 N a St
Wellington, KS 67152-4350
Phone (316) 631-1600

Hospital & facility affiliations

  • Phoenix Home Care Home health agency, Wichita, KS, CCN 178012
  • Kansas Surgery & Recovery Center Hospital, Wichita, KS, CCN 170183
  • Wesley Medical Center Hospital, Wichita, KS, CCN 170123
  • Via Christi Hospital Wichita St Teresa, Inc Hospital, Wichita, KS, CCN 170200
  • William Newton Hospital Hospital, Winfield, KS, CCN 171383
  • Susan B Allen Memorial Hospital Hospital, El Dorado, KS, CCN 170017
  • Ascension Via Christi Rehabilitation Hospital, Inc Inpatient rehabilitation facility, Wichita, KS, CCN 173028

Merit-based Incentive Payment System (MIPS)

Final score
79.41 of 100Reported as group
Quality
61.12
Promoting interoperability
100
Improvement activities
40
Cost
70.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement53
Knee replacement171

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1013984699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9828 E SHANNON WOODS CIR # 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264100",
            "telephone_number": "316-631-1600",
            "fax_number": "316-631-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9828 E SHANNON WOODS CIR # 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264100",
            "telephone_number": "316-631-1600",
            "fax_number": "316-631-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPPADEMOS",
        "first_name": "PAUL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "KS",
            "license": "04-29323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200332890A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.