Individual provider Active NPI

Todd M Detwiler, MD

  • Family Medicine Physician
  • Emporia, KS
National Provider Identifier
1396796181
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-26374 Issued in KS
Practice address
1301 W 12TH Ave
Emporia, KS 66801-2587
Phone
(620) 343-2900
Fax
(620) 343-9484
NPI assigned
May 15, 2006
Last updated
Mar 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-26374 KS Primary

Addresses

Primary practice location

1301 W 12TH Ave
Emporia, KS 66801-2587

Mailing address

1301 W 12TH Ave
Emporia, KS 66801-2587
Phone (620) 343-2900

Other practice location 1

6725 SW 29th St
Topeka, KS 66614-5625
Phone (785) 354-0517

Other practice location 2

4505 NW Fielding Rd
Topeka, KS 66618-2651
Phone (785) 270-0047

Other practice location 3

1516 SW 6th Ave
Topeka, KS 66606-1696
Phone (785) 270-0047

Other practice location 4

2909 SE Walnut Dr
Topeka, KS 66605-2189
Phone (785) 270-0047

Other identifiers 2

IdentifierTypeStateIssuer
100191720AMedicaidKS
30004489390001MedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050422000824 KS Practitioner - Family Practice 4486692019 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carearc IncGroup PAC ID 2961474663, 11 clinicians

Practice addresses (Care Compare)

1301 W 12TH Ave
Suite 401
Emporia, KS 66801-2591
Phone (620) 343-2900

420 W 15TH Ave
Emporia, KS 66801-5367
Phone (620) 342-4864

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions19
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carearc, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Aug 1, 1996 Accepting new patients
Carearc, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust Family Medicine CurrentSince Aug 1, 1996 Accepting new patients

Locations

1301 W 12th Ave
Ste 401
Emporia, KS 66801
Phone (620) 343-2900

420 W 15th Ave
Emporia, KS 66801
Phone (620) 342-4864

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

2909 SE Walnut Dr
Topeka, KS 66605
Phone (785) 267-0744

4505 NW Fielding Rd
Topeka, KS 66618
Phone (785) 270-0047

6725 SW 29th St
Topeka, KS 66614
Phone (785) 270-0047

901 SW Garfield Ave
Topeka, KS 66606

Interoperability endpoints

  • Direct secure messaging: tdetwiler3797@stormontvaildirect.org

Organizations & group practices 4

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 4

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1396796181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W 12TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012587",
            "telephone_number": "620-343-2900",
            "fax_number": "620-343-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 12TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012587",
            "telephone_number": "620-343-2900",
            "fax_number": "620-343-9484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6725 SW 29th St",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666145625",
            "country_code": "US",
            "telephone_number": "785-354-0517",
            "fax_number": "785-478-1508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4505 NW Fielding Rd",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666182651",
            "country_code": "US",
            "telephone_number": "785-270-0047",
            "fax_number": "785-270-0032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1516 SW 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666061696",
            "country_code": "US",
            "telephone_number": "785-270-0047",
            "fax_number": "785-270-0086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2909 SE Walnut Dr",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666052189",
            "country_code": "US",
            "telephone_number": "785-270-0047",
            "fax_number": "785-266-3490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DETWILER",
        "first_name": "TODD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-26374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100191720A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004489390001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Emporia, KS

Sources for this page

Verify at the official NPI Registry.