Active NPI
Andrew Declerk, MD
- Vascular Surgery Physician
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 04-50892
- Practice address
- 9350 E 35TH St N Ste 103
Wichita, KS 67226-2022 - Phone
- (316) 263-0296
- NPI assigned
- Jun 12, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 04-50892 | KS | Primary |
| Surgery Physician | 208600000X | 04-50892 | KS |
Addresses
Primary practice location
9350 E 35TH St N Ste 103
Wichita, KS 67226-2022
Mailing address
551 N Hillside St Ste 201
Wichita, KS 67214-4925
Phone (316) 263-0296
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
- Vascular Surgery
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9350 E 35TH N
Suite 103
Wichita, KS 67226-2016
Phone (316) 858-5000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-50892 | KS | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wichita Surgical Specialists PA | Surgery | Current | Accepting new patients |
| Meritas Health Corporation | Past | Accepting new patients |
Locations
551 N Hillside St
Ste 201
Wichita, KS 67214
Phone (316) 263-0296
9350 E 35th St N
Ste 103
Wichita, KS 67226
Phone (316) 858-5000
818 N Emporia St
Ste 200
Wichita, KS 67214
Phone (316) 263-0296
Interoperability endpoints
- andrew.declerk@hca3.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Surgery Physician
- Wichita, KS
- NPI 1154302180
-
dba NKC Health
- Cardiovascular Disease Physician
- North Kansas City, MO
- NPI 1609855899
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wichita, KS
- NPI 1154314789
-
- General Acute Care Hospital
- Wichita, KS
- NPI 1114928108
-
dba Wesley Medical Center
- General Acute Care Hospital
- Wichita, KS
- NPI 1447299649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1124511399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "551 N HILLSIDE ST STE 201",
"city": "WICHITA",
"state": "KS",
"postal_code": "672144925",
"telephone_number": "316-263-0296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9350 E 35TH ST N STE 103",
"city": "WICHITA",
"state": "KS",
"postal_code": "672262022",
"telephone_number": "316-263-0296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECLERK",
"first_name": "ANDREW",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-12",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "KS",
"license": "04-50892",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "KS",
"license": "04-50892",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
- Deborah L Miller DC PA
- Brian L Debrot, MD
- Decide Your Legacy, LLC
- Howard Christopher Deck, P.T.
- Melissa Deckard, RN
- Kielan Decou
- Dedicated Physicians Group of Kansas LLC (Dedicated Senior Medical Center Grove)
- Dedicated Physicians Group of Kansas LLC (Dedicated Senior Medical Center Glendale)
- Dee'S Counseling LLC
- Deena Sandall, OD., LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.