NPIMap

Individual provider Active NPI

Martin Wayne Dillow, MD

  • Family Medicine Physician
  • Chanute, KS
National Provider Identifier
1073730867
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0432247 Issued in KS
Practice address
505 S Plummer Ave
Chanute, KS 66720-1950
Phone
(620) 431-2500
Fax
(620) 431-1876
NPI assigned
Apr 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0432247 KS Primary

Addresses

Primary practice location

505 S Plummer Ave
Chanute, KS 66720-1950

Mailing address

505 S Plummer Ave
Chanute, KS 66720-1950
Phone (620) 431-2500

Other identifiers 1

IdentifierTypeStateIssuer
200541180AMedicaidKS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070710000667 KS Practitioner - Family Practice 4789784448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neosho Memorial Regional Medical CenterGroup PAC ID 9133022882, shared by 7 NPIs, 26 clinicians

Practice addresses (Care Compare)

1409 W 7TH St
Nmrmc Surgery Clinic
Chanute, KS 66720-2550
Phone (620) 431-4000

1500 W 7TH St
Nmrmc Orthopedic Clinic
Chanute, KS 66720-2575
Phone (620) 432-5775

1501 W 7TH St
Chanute, KS 66720-2551
Phone (620) 433-3838

2522 W 21St St
Nmrmc Orizon Clinic
Chanute, KS 66720-6132
Phone (620) 431-4000

629 S Plummer Ave
Chanute, KS 66720-1928
Phone (620) 431-4000

Hospital & facility affiliations

  • Angels Care Home Health Home health agency, Chanute, KS, CCN 178060
  • Nmrmc Home Health Agency Home health agency, Chanute, KS, CCN 177060
  • Gentiva Hospice, Parsons, KS, CCN 171556
  • Neosho Memorial Regional Medical Center Hospital, Chanute, KS, CCN 171380
  • Fredonia Regional Hospital Hospital, Fredonia, KS, CCN 171374
  • Labette Health Hospital, Parsons, KS, CCN 170120
  • Heritage Health Care Center Nursing home, Chanute, KS, CCN 175249
  • Diversicare of Chanute Nursing home, Chanute, KS, CCN 175214

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions16
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0432247KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Kansas Mental Health Center Current Accepting new patients
Ashley Clinic LLC CurrentSince Jan 12, 2008 Accepting new patients
Ashley Clinic, LLC Current Accepting new patients
Southeast Kansas Mental Health Center Family Medicine CurrentSince Feb 27, 2024 Accepting new patients
Ashley Clinic, LLC Family Medicine CurrentSince Jan 12, 2008 Accepting new patients
Pawnee Mental Health Service, Inc. Past Accepting new patients
Heritage Health Care, LLC Past Accepting new patients
Neosho Memorial Regional Medical Center Past Accepting new patients

Locations

505 S Plummer Ave
Chanute, KS 66720

1106 S 9th St
Humboldt, KS 66748
Phone (620) 473-2241

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24081/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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 10

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

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1073730867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S PLUMMER AVE",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667201950",
            "telephone_number": "620-431-2500",
            "fax_number": "620-431-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S PLUMMER AVE",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667201950",
            "telephone_number": "620-431-2500",
            "fax_number": "620-431-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLOW",
        "first_name": "MARTIN",
        "middle_name": "WAYNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0432247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200541180A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chanute, KS

Sources for this page

Verify at the official NPI Registry.