Active NPI
Todd M Detwiler, MD
- Family Medicine Physician
- Emporia, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 04-26374
- 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, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100191720A | Medicaid | KS | |
| 30004489390001 | Medicaid | KS |
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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 19 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carearc, Inc. | Current | Accepting new patients | |
| Cotton-O'Neil Clinic Revocable Trust | Current | Accepting new patients | |
| Carearc, Inc. | Current | Accepting new patients | |
| Cotton-O'Neil Clinic Revocable Trust | Family Medicine | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Emporia, KS
- NPI 1467413906
-
dba Cotton O'Neil
- Internal Medicine Physician
- Topeka, KS
- NPI 1811944457
Family Medicine
-
- Public Health or Welfare Agency
- Emporia, KS
- NPI 1760658108
-
dba Stormont Vail Health DME
- Durable Medical Equipment & Medical Supplies
- Topeka, KS
- NPI 1700076015
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Angels Care Home Health
- Home Health Agency
- Wichita, KS
- NPI 1043532294
-
dba Newman Regional Health
- Critical Access Hospital
- Emporia, KS
- NPI 1245643576
-
dba Hand in Hand Hospice
- Community Based Hospice Care Agency
- Emporia, KS
- NPI 1821306218
-
dba Newman Express Care
- Urgent Care Clinic/Center
- Emporia, KS
- NPI 1922306729
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.