Active NPI
Todd Arthur Wullschleger, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Pittsburg, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 04-26605
- Practice address
- 1 Mt Carmel Way
Pittsburg, KS 66762-7587 - Phone
- (620) 232-0124
- NPI assigned
- Sep 21, 2006
- Last updated
- Sep 30, 2021
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD113468 | MO | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 04-26605 | KS | Primary |
Addresses
Primary practice location
1 Mt Carmel Way
Pittsburg, KS 66762-7587
Mailing address
1 Mt Carmel Way
Pittsburg, KS 66762-7587
Phone (620) 232-0124
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 220018729 | Other | RAILROAD MEDICARE | |
| 702686106 | Medicaid | MO | |
| 100277660A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Nebraska College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Mt Carmel Way
Pittsburg, KS 66762-7587
Phone (620) 232-0274
4142 S Mingo Rd
Tulsa, OK 74146-3632
Phone (918) 417-6400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-26605 | KS | MD | Anatomic Pathology & Clinical Pathology Physician |
| MD113468 | MO | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Medical Laboratory, Inc | Current | Accepting new patients | |
| Ascension Via Christi Hospital Pittsburg, Inc. | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
401 Woodland Hills Blvd
Fort Scott, KS 66701
Phone (620) 223-2200
1 Mt Carmel Way
Pittsburg, KS 66762
Phone (620) 231-6100
4142 S Mingo Rd
Tulsa, OK 74146
Phone (918) 417-6400
4144 S Mingo Rd
Tulsa, OK 74146
Phone (918) 744-2500
Organizations & group practices 3
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Tulsa, OK
- NPI 1750314076
KS
-
dba Professional Services
- Internal Medicine Physician
- Pittsburg, KS
- NPI 1760408975
Anatomic Pathology & Clinical Pathology
-
- Clinical Medical Laboratory
- Tulsa, OK
- NPI 1497773337
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Coffeyville, KS
- NPI 1285600379
-
dba Girard Medical Center
- Critical Access Hospital
- Girard, KS
- NPI 1578505095
-
- General Acute Care Hospital
- Pittsburg, KS
- NPI 1639921430
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1578656161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632960000000",
"number": "1275631137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MT CARMEL WAY",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "667627587",
"telephone_number": "620-232-0124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MT CARMEL WAY",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "667627587",
"telephone_number": "620-232-0124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WULLSCHLEGER",
"first_name": "TODD",
"middle_name": "ARTHUR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2021-09-30",
"certification_date": "2021-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MO",
"license": "MD113468",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "KS",
"license": "04-26605",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "220018729",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "702686106",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100277660A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburg, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.