Justin Reiswig

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

94-10309 Issued in KS

Practice address

1126 S Clifton Ave
Wichita, KS 67218-2913

Phone

(316) 350-8008

NPI assigned

May 28, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 14, 2025 through Dec 14, 2027

Specialty

Family Practice

Education

University of Kansas School of Med (KC/Wich/Sal), 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EJDEBA

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.

• West Wichita Family Physicians, P.a.

  dba West Wichita Minor Emergency Office

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1043228984
  NPD
• Antioch Med

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1629895008
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1427671148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 N BAYTREE CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051453",
            "telephone_number": "316-300-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 S CLIFTON AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182913",
            "telephone_number": "316-350-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISWIG",
        "first_name": "JUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-28",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "94-10309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail E Reinhardt, ARNP
• David Reinsch, PA
• Gary W Reiswig, M.D.
• Jeffrey S Reiswig, M.D.
• Jeremy Reiswig
• Nicholas Garrett Reiswig
• Taea Reiswig, OTD/ OTR/L
• Shilpi Relan, M.B.B.S
• Relatable LLC
• Relatyv Mobile Medical LLC

• Family Medicine Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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; Opt Out Affidavits.
• 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.

Verify at the official NPI Registry.