Individual provider Active NPI

Sean Gregory Di Paola, PA

  • Medical Physician Assistant
  • Wichita, KS
National Provider Identifier
1316468986
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
550 N Hillside St
Wichita, KS 67214-4910
Phone
(316) 962-2239
Fax
(316) 962-2668
NPI assigned
Jul 4, 2017
Last updated
Oct 18, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X KS Primary

Addresses

Primary practice location

550 N Hillside St
Wichita, KS 67214-4910

Mailing address

PO Box 5607
Denver, CO 80217-5607
Phone (303) 306-7783

Other practice location 1

550 North Hillside
Emergency Services Professional Association
Wichita, KS 67214-4910
Phone (316) 962-2239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171025002360 KS Practitioner - Physician Assistant 3173899705 Reassigns benefits to 2 organizations
I20260501000885 OR Practitioner - Physician Assistant 3173899705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3349 St Vincent Terr
Lakeland, FL 33812-4099

4100 International PLZ
Fort Worth, TX 76109-4800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Susan B. Allen Memorial Hospital CurrentSince Feb 1, 2024 Accepting new patients
Susan B. Allen Memorial Hospital CurrentSince Feb 1, 2024 Accepting new patients
Pratt Regional Medical Center Corporation Current Accepting new patients
Sumner Regional Medical Center CurrentSince Jun 8, 2018 Accepting new patients

Locations

720 W Central Ave
El Dorado, KS 67042
Phone (316) 321-3000

200 Commodore St
Pratt, KS 67124
Phone (620) 672-6476

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1499126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1316468986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5607",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802175607",
            "telephone_number": "303-306-7783",
            "fax_number": "303-306-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144910",
            "telephone_number": "316-962-2239",
            "fax_number": "316-962-2668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 North Hillside",
            "address_2": "Emergency Services Professional Association",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672144910",
            "country_code": "US",
            "telephone_number": "316-962-2239",
            "fax_number": "316-962-2668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DI PAOLA",
        "first_name": "SEAN",
        "middle_name": "GREGORY",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-04",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.