NPIMap

Individual provider Active NPI

Craig Sudbeck, M.D.

  • Surgery Physician
  • Wichita, KS
National Provider Identifier
1215385539
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
94-08906 Issued in KS
Practice address
3243 E Murdock St Ste 404
Wichita, KS 67208-3007
Phone
(316) 685-6222
NPI assigned
May 26, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 94-08906 KS Primary

Addresses

Primary practice location

3243 E Murdock St Ste 404
Wichita, KS 67208-3007

Mailing address

3243 E Murdock St Ste 404
Wichita, KS 67208-3007
Phone (316) 685-6222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210610002800 KS Practitioner - General Surgery 2860786597 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas Surgical Consultants LLPGroup PAC ID 8224023445, 21 clinicians

Practice addresses (Care Compare)

3243 E Murdock St
Wichita, KS 67208-3007
Phone (316) 685-6222

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy74
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)14
Upper gastrointestinal (GI) endoscopy for acid reflux106
Melanoma (skin cancer) excision1-10
Removal of tissue18
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
94-08906KSMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medicine Lodge Memorial Hospital CurrentSince Jul 14, 2021 Accepting new patients
Kansas Surgical Consultants, LLP Surgery CurrentSince Jun 30, 2021 Accepting new patients
Medicine Lodge Memorial Hospital CurrentSince Jan 1, 2026 Accepting new patients
Medicine Lodge Memorial Hospital CurrentSince Jul 14, 2021 Accepting new patients
Hospital District No 6 of Harper County Kansas CurrentSince Dec 1, 2025 Accepting new patients
Central Plains Cardiothoracic Surgery, LLC PastSince Aug 1, 2021 Accepting new patients
Wesley Medical Center LLC Past Accepting new patients

Locations

485 N KS Hwy 2
Anthony, KS 67003
Phone (620) 914-1200

710 N Walnut St
Medicine Lodge, KS 67104
Phone (620) 886-3771

9300 E 29th St N
Ste 203
Wichita, KS 67226
Phone (316) 219-9360

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239

2610 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 684-3838

3243 E Murdock St
Ste 404
Wichita, KS 67208
Phone (316) 685-6222

Interoperability endpoints

  • Direct secure messaging: craigsudbeck@ksc.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kansas Surgery and Recovery CenterWichita, KS, CCN 170183 Hospital Limited Partnership Interest (0.13%) Sep 7, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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 8

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": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1215385539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3243 E MURDOCK ST STE 404",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083007",
            "telephone_number": "316-685-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3243 E MURDOCK ST STE 404",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083007",
            "telephone_number": "316-685-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDBECK",
        "first_name": "CRAIG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "94-08906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.