Individual provider Active NPI

Lyle Zepick, M.D.

  • Specialist
  • Wichita, KS
National Provider Identifier
1346294808
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
19176 Issued in KS
Practice address
630 S Hillside St
Wichita, KS 67211-2157
Phone
(316) 616-2020
Fax
(316) 616-2007
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0419176 KS
Specialist 174400000X 19176 KS Primary

Addresses

Primary practice location

630 S Hillside St
Wichita, KS 67211-2157

Mailing address

PO Box 47624
Wichita, KS 67201-7624
Phone (316) 491-5926

Other practice location 1

2220 Canterbury Dr
Hays, KS 67601-2370
Phone (785) 625-4699

Other identifiers 3

IdentifierTypeStateIssuer
106035OtherKSBLUE CROSS BLUE SHIELD
100085080GMedicaidKS
60036269OtherKSRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, OK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050429000754 KS Practitioner - Cardiovascular Disease (Cardiology) 4385683200 Reassigns benefits to 2 organizations
I20250306000317 OK Practitioner - Cardiovascular Disease (Cardiology) 4385683200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Calgary, Faculty of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas Medical Center LLCGroup PAC ID 2668476862, shared by 2 NPIs, 54 clinicians

Practice addresses (Care Compare)

1124 W 21St St
KMC Physicians
Andover, KS 67002-5500
Phone (316) 300-4000

427 Fairview Ave
Ponca City, OK 74601-1923
Phone (316) 858-9000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.33 of 100Reported as group
Quality
59.78
Promoting interoperability
97
Improvement activities
40
Cost
73.83

Merit-based Incentive Payment System (MIPS)

Final score
20.94 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
69.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19176KSMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Medical Center, LLC Cardiovascular Disease CurrentSince Jan 1, 2007 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. CurrentSince Jun 1, 1999 Accepting new patients
Kansas Medical Center, LLC CurrentSince Jan 1, 2007 Accepting new patients
Kansas Medical Center, LLC Current Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. CurrentSince Jun 1, 1999 Accepting new patients
Kansas Medical Center LLC Current Accepting new patients
Charles W Beck, MD, PA Past Accepting new patients
Line Medical Inc Past Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. Past Accepting new patients
Line Diagnostics Inc Cardiovascular Disease PastSince Jan 1, 2005 Accepting new patients
John W. Holden, M.D., P.C. PastSince Dec 25, 2024 Accepting new patients

Locations

1124 W 21st St
Andover, KS 67002
Phone (316) 300-4000

415 N Main St
Ulysses, KS 67880
Phone (620) 356-1266

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

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

630 S Hillside St
Wichita, KS 67211
Phone (316) 491-5926

9840 E 21st St N
Wichita, KS 67206
Phone 31685890005811

9350 E 35th St N
Ste 102
Wichita, KS 67226
Phone (316) 262-3444

427 Fairview Ave
Ponca City, OK 74601
Phone (580) 765-9299

Interoperability endpoints

  • Direct secure messaging: lyle.zepick.p1@direct.zcvmed.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/20807/brand/4/csg/1/fhir/r4

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 Medical CenterAndover, KS, CCN 170197 Hospital Limited Partnership Interest (4.85%) Oct 10, 2006

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 11

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 5

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1346294808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47624",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672017624",
            "telephone_number": "316-491-5926",
            "fax_number": "316-491-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672112157",
            "telephone_number": "316-616-2020",
            "fax_number": "316-616-2007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2220 Canterbury Dr",
            "address_purpose": "LOCATION",
            "city": "Hays",
            "state": "KS",
            "postal_code": "676012370",
            "country_code": "US",
            "telephone_number": "785-625-4699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZEPICK",
        "first_name": "LYLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "0419176",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KS",
            "license": "19176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "106035",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100085080G",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "60036269",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.