Active NPI
Harley E Calvin, D.O.
- Family Medicine Physician
- Wichita, KS
National Provider Identifier
1124066451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 05-26966
- Practice address
- 5500 E Kellogg Dr
Wichita, KS 67218-1607 - Phone
- (888) 878-6881
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 05-26966 | KS | Primary |
Addresses
Primary practice location
5500 E Kellogg Dr
Wichita, KS 67218-1607
Mailing address
5500 E Kellogg Dr
Wichita, KS 67218-1607
Other practice location 1
105 S Pennsylvania Ave
Ness City, KS 67560-1907
Phone (785) 798-3388
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 052666 | Other | KS | COMMERCIAL INSURANCE |
| 100336600A | Medicaid | KS | |
| 105104 | Other | KS | BCBS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Trego County Lemke Memorial Hospital
Practice addresses (Care Compare)
1000 Washington St
Ellis, KS 67637-1615
Phone (785) 726-4956
814 Jefferson St
Ellis, KS 67637-2215
Phone (785) 520-5020
Hospital & facility affiliations
- Angels Care Home Health of Dodge City
- Hays Medical Center
- Ness County Hospital District #2
- Trego County Lemke Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 27 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-26966 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ness County Hospital District #2 | Current | Accepting new patients | |
| Ellis Medical Clinic LLC | Family Medicine | Current | Accepting new patients |
| County of Ness | Past | Accepting new patients |
Locations
814 Jefferson St
Ellis, KS 67637
Phone (785) 520-5020
316 Custer St
Ness City, KS 67560
Phone (785) 798-2233
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Ellis, KS
- NPI 1871064568
-
- Critical Access Hospital Clinic/Center
- Ness City, KS
- NPI 1962439943
-
- Certified Registered Nurse Anesthetist
- Ness City, KS
- NPI 1568747715
-
- Health Service Clinic/Center
- Ness City, KS
- NPI 1275745085
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Wakeeney, KS
- NPI 1649720012
-
- General Acute Care Hospital
- Hays, KS
- NPI 1881697043
-
- Critical Access Hospital
- Ness City, KS
- NPI 1457452898
-
- Critical Access Hospital
- Wakeeney, KS
- NPI 1922001015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1124066451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 E KELLOGG DR",
"city": "WICHITA",
"state": "KS",
"postal_code": "672181607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 E KELLOGG DR",
"city": "WICHITA",
"state": "KS",
"postal_code": "672181607",
"telephone_number": "888-878-6881"
}
],
"practiceLocations": [
{
"address_1": "105 S Pennsylvania Ave",
"address_purpose": "LOCATION",
"city": "Ness City",
"state": "KS",
"postal_code": "675601907",
"country_code": "US",
"telephone_number": "785-798-3388",
"fax_number": "785-798-2319",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CALVIN",
"first_name": "HARLEY",
"middle_name": "E",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "05-26966",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL INSURANCE",
"identifier": "052666",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100336600A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "105104",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.