Individual provider Active NPI

Stephen Dewitt, DO

  • Emergency Medicine Physician
  • Salina, KS
National Provider Identifier
1144802919
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
05-49970 Issued in KS
Practice address
400 S Santa Fe Ave
Salina, KS 67401-4144
Phone
(785) 452-7000
NPI assigned
Apr 22, 2021
Last updated
Aug 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 05-49970 KS Primary

Addresses

Primary practice location

400 S Santa Fe Ave
Salina, KS 67401-4144

Mailing address

400 S Santa Fe Ave
Salina, KS 67401-4144
Phone (785) 452-7000

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
I20240918000516 KS Practitioner - Emergency Medicine 2365983368 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05-49970KSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lindsborg Community Hospital Association Single Specialty CurrentSince Aug 1, 2024 Accepting new patients
Salina Regional Health Center Inc CurrentSince Aug 5, 2024 Accepting new patients
Lindsborg Community Rural Health Clinic Inc Single Specialty Current Accepting new patients
Salina Regional Health Center, Inc. Single Specialty CurrentSince Aug 5, 2024 Accepting new patients
Salina Regional Health Center, Inc Single Specialty Current Accepting new patients
Lindsborg Community Hospital Association Single Specialty CurrentSince Aug 1, 2024 Accepting new patients

Locations

605 W Lincoln St
Lindsborg, KS 67456
Phone (785) 227-3308

400 S Santa Fe Ave
Salina, KS 67401
Phone (785) 452-6019

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1144802919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S SANTA FE AVE",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014144",
            "telephone_number": "785-452-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S SANTA FE AVE",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014144",
            "telephone_number": "785-452-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "STEPHEN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-22",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "05-49970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.