Johnathan Sivilay, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

7550 W Village Cir Ste 1
Wichita, KS 67205-9364

Phone

(316) 838-2020

Fax

(316) 838-7574

NPI assigned

Sep 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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: No

Green means eligible to order or refer.

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Dreams Medical Corporation PCGroup PAC ID 7113353160, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: johnathan.sivilay.p1@direct.spocortho.nextgenshare.com

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.

• JS & JD LLC

  • Assisted Living Facility
  • Clovis, CA
  • NPI 1902631260
  NPD Authorized official
• California Dreams Medical Corporation PC

  • Urgent Care Clinic/Center
  • Fresno, CA
  • NPI 1487299699
  Care Compare group
• LQMG Medical Group Inc.

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1437166360
  NPD

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1568658359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 W VILLAGE CIR STE 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672059364",
            "telephone_number": "316-838-2020",
            "fax_number": "316-838-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 W VILLAGE CIR STE 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672059364",
            "telephone_number": "316-838-2020",
            "fax_number": "316-838-7574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1630 E Herndon Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937203305",
            "country_code": "US",
            "telephone_number": "559-256-5200",
            "fax_number": "559-256-5376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIVILAY",
        "first_name": "JOHNATHAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-14",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "19088",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WASHINGTON",
            "identifier": "229328",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "19088",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Sisk, MSN, APRN
• Daniel Sittler, MD
• Julia Sitz
• Siddharthan Sivamurthy, MD
• Janny Ketsana Sivilay, LSCSW
• Size and Fit, LLC
• Kathryn Elizabeth Sjoholm, CRNA
• Delaney Kaylene Skaggs
• Andrea L Skelton, LSCSW
• Valerie Christine Skender, PT

• Physician Assistant in Wichita, KS
• Providers in Wichita, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.

Verify at the official NPI Registry.