Individual provider Active NPI

Christopher Henry Surtman, DPM

  • Podiatrist
  • Kingman, KS
National Provider Identifier
1194759787
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
12-00360 Issued in KS
Practice address
750 W D Ave
Kingman, KS 67068-1266
Phone
(405) 249-2351
Fax
(316) 652-9913
NPI assigned
Jul 10, 2006
Last updated
Oct 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 12-00360 KS Primary

Addresses

Primary practice location

750 W D Ave
Kingman, KS 67068-1266

Mailing address

2522 N Graystone Cir
Wichita, KS 67228-8039
Phone (316) 755-8004

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060816000114 KS Practitioner - Podiatry 5890738371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1323 N a St
Wellington, KS 67152-4350
Phone (316) 755-8004

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue50
Removal of nail tissue13E3
Removal or shaving of skin growth41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12-00360KSMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita Foot and Ankle Wound Center Podiatrist CurrentSince Oct 20, 2015 Accepting new patients
Heartland Healthcare Consultants, Inc. Past Accepting new patients
Wesley Towers, Inc. Past Accepting new patients
Pleasant Valley Nursing, LLC Past Accepting new patients
Buhler Sunshine Home, Inc Past Accepting new patients
Eagle Estates Inc. Past Accepting new patients
Luis S Alonzo MD PA Past Accepting new patients
Thomas W Inwood DPM Inc Podiatrist Past Accepting new patients
Carrington Residential, LLC Past Accepting new patients
Brookdale Senior Living Communities, Inc. PastSince Dec 6, 2020 Accepting new patients
Hcp1Oc Alderbrook, LLC Past Accepting new patients
Kra LLC Past Accepting new patients
Dr James F Zimmerman Inc Podiatrist Past Accepting new patients
Christopher H Surtman DPM LLC Past Accepting new patients
Brookdale Senior Living Communities, Inc. Past Accepting new patients
Lakepoint Carriage House Past Accepting new patients
Kidron Bethel Retirement Services, Inc. Past Accepting new patients
Medicalodges, Inc. Past Accepting new patients
Harris Healthcare LLC Past Accepting new patients
Bluestem Therapy Inc Past Accepting new patients
Onsight Eye Care PA Past Accepting new patients
Sunflower Partners in Health, LLC Past Accepting new patients
Medicalodges, Inc. Past Accepting new patients
Therapy Essentials, LLC PastSince Dec 17, 2023 Accepting new patients
Boucher Eye Care Past Accepting new patients

Locations

220 S Hillside St
Ste B
Wichita, KS 67211
Phone (316) 686-9121

940 N Tyler Rd
Ste 206
Wichita, KS 67212
Phone (316) 755-8004

Organizations & group practices 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1194759787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 N GRAYSTONE CIR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672288039",
            "telephone_number": "316-755-8004",
            "fax_number": "316-652-9913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W D AVE",
            "city": "KINGMAN",
            "state": "KS",
            "postal_code": "670681266",
            "telephone_number": "405-249-2351",
            "fax_number": "316-652-9913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURTMAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KS",
            "license": "12-00360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, KS

Sources for this page

Verify at the official NPI Registry.