Individual provider Active NPI

Michael G Ludlow, M.D.

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1124136239
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-20306 Issued in KS
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

Updated by the provider on Oct 28, 2022

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 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

IdentifierTypeStateIssuer
080110394OtherKSTRAVLERS MEDICARE
4082956OtherKSAETNA
551OtherKSPREFERRED HEALTH SYSTEMS
051994OtherKSBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050727000328 KS Practitioner - Family Practice 7810925351 Reassigns benefits to 1 organization

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 Hospice, Wichita, KS, CCN 171554

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-20306KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Wichita Family Physicians, P.a. Family Medicine CurrentSince Oct 1, 1997 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJDEBA
  • Direct secure messaging: michael.ludlow@khindirect.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.