Individual provider Active NPI

Derek Mason Wedel

  • Family Medicine Physician
  • Salina, KS
National Provider Identifier
1619505872
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-47699 Issued in KS
Practice address
520 S Santa Fe Ave Ste 300
Salina, KS 67401-4190
Phone
(785) 823-7470
NPI assigned
Mar 31, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 04-47699 KS Primary

Addresses

Primary practice location

520 S Santa Fe Ave Ste 300
Salina, KS 67401-4190

Mailing address

3429 N Miller Rd
Scottsdale, AZ 85251-4513
Phone (913) 220-1727

Other practice location 1

7301 E 2nd St Ste 210
Scottsdale, AZ 85251-5620
Phone (480) 882-4545

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
I20230818000619 KS Practitioner - Family Practice 5496172132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salina Regional Health Center IncGroup PAC ID 0446168215, 160 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

2090 S Ohio St
Salina, KS 67401-6702

2600 Compass Rd
Glenview, IL 60026-8001

400 S Santa Fe Ave
Salina, KS 67401-4144

520 S Santa Fe Ave
Salina, KS 67401-4190

Hospital & facility affiliations

  • Accessible Home Care, LLC Home health agency, Salina, KS, CCN 178099
  • Angels Care Home Health of Dodge City Home health agency, Wa Keeney, KS, CCN 178116
  • Wesley Healthcare at Home Home health agency, Salina, KS, CCN 177187
  • Interim Healthcare of Wichita Home health agency, Wichita, KS, CCN 177090
  • Kancover Home Health LLC Home health agency, Bennington, KS, CCN 178139
  • Salina Regional Health Center Hospital, Salina, KS, CCN 170012
  • Memorial Hospital Hospital, Abilene, KS, CCN 171381
  • Salina Presbyterian Manor Nursing home, Salina, KS, CCN 175300
  • Pinnacle Park Nursing & Rehab Center Nursing home, Salina, KS, CCN 175184

Merit-based Incentive Payment System (MIPS)

Final score
85.42 of 100Reported as group
Quality
79.94
Promoting interoperability
100
Improvement activities
40
Cost
71.45

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions23
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-47699KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salina Regional Health Center, Inc. Family Medicine CurrentSince Jul 12, 2023 Accepting new patients
Salina Regional Health Center Inc CurrentSince Jul 12, 2023 Accepting new patients
Salina Regional Health Center, Inc Current Accepting new patients
Comcare, P.a Family Medicine Past Accepting new patients

Locations

400 S Santa Fe Ave
Salina, KS 67401
Phone (785) 452-6019

2265 S 9th St
Salina, KS 67401
Phone (785) 452-6000

2090 S Ohio St
Salina, KS 67401
Phone (785) 309-2323

520 S Santa Fe Ave
Ste 300
Salina, KS 67401
Phone (785) 309-0012

Organizations & group practices 5

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.

Hospital & facility affiliations 9

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": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1619505872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3429 N MILLER RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852514513",
            "telephone_number": "913-220-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S SANTA FE AVE STE 300",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014190",
            "telephone_number": "785-823-7470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7301 E 2nd St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852515620",
            "country_code": "US",
            "telephone_number": "480-882-4545",
            "fax_number": "480-946-6997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEDEL",
        "first_name": "DEREK",
        "middle_name": "MASON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-47699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.