Individual provider Active NPI

Douglas Aaron Nunamaker, MD

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1548481542
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0432612 Issued in KS
Practice address
10500 E Berkeley Square Pkwy Ste 200
Wichita, KS 67206-6816
Phone
(316) 260-6454
Fax
(316) 260-8479
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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 0432612 KS Primary

Addresses

Primary practice location

10500 E Berkeley Square Pkwy Ste 200
Wichita, KS 67206-6816

Mailing address

10500 E Berkeley Square Pkwy Ste 200
Wichita, KS 67206-6816
Phone (316) 260-6454

Medicare participation

Medicare enrollment files
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0432612KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Consultants of Kansas,LLC Past Accepting new patients
Mercy Kansas Communities Inc Past Accepting new patients
Atlas MD Concierge Family Practice LLC Family Medicine Past Accepting new patients
Wesley Medical Center LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1548481542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 E BERKELEY SQUARE PKWY STE 200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672066816",
            "telephone_number": "316-260-6454",
            "fax_number": "316-260-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 E BERKELEY SQUARE PKWY STE 200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672066816",
            "telephone_number": "316-260-6454",
            "fax_number": "316-260-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNAMAKER",
        "first_name": "DOUGLAS",
        "middle_name": "AARON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0432612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.