Casey Jasper Cordts, M.D.
Individual provider Active NPI Pediatrics Physician · Wichita, KS
NPI 1245404656 · NPPES record last updated Aug 27, 2026
Key facts
- NPI
- 1245404656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 04-35240 (KS)
- Practice address
- 1150 N Broadway Ave
Wichita, KS 67214-2805 - Phone
- (316) 866-2000
- NPI assigned
- Apr 16, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240814000838 | KY | Practitioner - Hospitalist | 0042480915 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35240 | KS | MD | Hospitalist Physician |
| 59959 | KY | MD | Hospitalist Physician |
| TP343 | KY | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Health Corporation, Inc. | Current |
Accepting new patients | |
| Commonwealth Health Corporation, Inc | Current | Accepting new patients | |
| Commonwealth Health Corporation, Inc. | Pediatrics | Current |
Accepting new patients |
| University of Kentucky | Current |
Accepting new patients | |
| Kentucky Medical Services Foundation, Inc | Pediatrics | Current |
Accepting new patients |
| University of Kentucky | Past | Accepting new patients | |
| Cotton-O'Neil Clinic Revocable Trust | Past | Accepting new patients |
Locations
350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075
250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800
Interoperability endpoints
- ccordts191336@ahs.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 04-35240 | KS | Yes |
Addresses
Primary practice location
1150 N Broadway Ave
Wichita, KS 67214-2805
Mailing address
1150 N Broadway Ave
Wichita, KS 67214-2805
Phone (316) 866-2000
Other providers in Wichita, KS
- Kyra Corbin
- Sandra Ann Corbin
- Barbara Cordero Rodriguez
- Hannah Adeline Cordero
- Jessica Cordero
- Core Home Health Agency LLC
- Terri Jean Core
- Desirae Corey
- Ashley M Corkill
- Sarah Corn
All providers in Wichita, KS · Pediatrics Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.