Active NPI
Michael G Ludlow, M.D.
- Family Medicine Physician
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 04-20306
- Practice address
- 8200 W Central Ave
Suite 1
Wichita, KS 67212-9503 - Phone
- (316) 722-6260
- Fax
- (316) 721-8307
- NPI assigned
- Aug 28, 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 | 04-20306 | KS | Primary |
Addresses
Primary practice location
8200 W Central Ave
Suite 1
Wichita, KS 67212-9503
Mailing address
8200 W Central Ave
Suite 1
Wichita, KS 67212-9503
Phone (316) 722-6260
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080110394 | Other | KS | TRAVLERS MEDICARE |
| 4082956 | Other | KS | AETNA |
| 551 | Other | KS | PREFERRED HEALTH SYSTEMS |
| 051994 | Other | KS | BLUE CROSS BLUE SHIELD |
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
- University of Kansas School of Med (KC/Wich/Sal), 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8200 W Central Ave
Wichita, KS 67212-3661
8200 W Central Ave
Suite 1
Wichita, KS 67212-9502
Hospital & facility affiliations
- Progressive Home Health & Hospice
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-20306 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Wichita Family Physicians, P.a. | Family Medicine | Current | Accepting new patients |
| West Wichita Family Physicians, P.a. | Current | Accepting new patients | |
| West Wichita Family Physicians, P.a. | Family Medicine | Current | Accepting new patients |
Locations
8200 W Central Ave
Ste 1
Wichita, KS 67212
Phone (316) 721-4544
8200 W Central Ave
Ste 4
Wichita, KS 67212
Phone (316) 721-4910
929 N Saint Francis Ave
Fl 2
Wichita, KS 67214
Phone (316) 268-8506
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EJDEBA
- michael.ludlow@khindirect.org
- michael.ludlow@wwfp.eclinicaldirectplus.com
Organizations & group practices 3
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
- Wichita, KS
- NPI 1043228984
-
- Ambulatory Surgical Clinic/Center
- Wichita, KS
- NPI 1790902617
-
- Family Medicine Physician
- Wichita, KS
- NPI 1902810302
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Wichita, KS
- NPI 1295761468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666915200000",
"number": "1124136239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8200 W CENTRAL AVE",
"address_2": "SUITE 1",
"city": "WICHITA",
"state": "KS",
"postal_code": "672129503",
"telephone_number": "316-722-6260",
"fax_number": "316-721-8307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 W CENTRAL AVE",
"address_2": "SUITE 1",
"city": "WICHITA",
"state": "KS",
"postal_code": "672129503",
"telephone_number": "316-722-6260",
"fax_number": "316-721-8307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUDLOW",
"first_name": "MICHAEL",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-28",
"last_updated": "2022-10-28",
"certification_date": "2022-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "04-20306",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVLERS MEDICARE",
"identifier": "080110394",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4082956",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED HEALTH SYSTEMS",
"identifier": "551",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "051994",
"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 Oct 28, 2022; 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.