NPIMap

Individual provider Active NPI

P David Margolis, MD

  • Clinical Cardiac Electrophysiology Physician
  • Wichita, KS
National Provider Identifier
1619921855
Registry record updated Dec 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
0420650 Issued in KS
Practice address
3311 E Murdock
Wichita, KS 67208
Phone
(316) 689-9370
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2019

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20650 KS
Internal Medicine Physician 207R00000X 0420650 KS
Cardiovascular Disease Physician 207RC0000X 0420650 KS
Cardiovascular Disease Physician 207RC0000X 20650 KS
Clinical Cardiac Electrophysiology Physician 207RC0001X 20650 KS
Clinical Cardiac Electrophysiology Physician 207RC0001X 0420650 KS Primary

Addresses

Primary practice location

3311 E Murdock
Wichita, KS 67208

Mailing address

PO Box 2969
Wichita, KS 67201-2969
Phone (316) 689-9135

Other identifiers 1

IdentifierTypeStateIssuer
100425490KMedicaidKS

Other names 1

  • Paul David Margolis Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041028000768 KS Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 8325000763 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Medical Group Via Christi PAGroup PAC ID 2961314497, 184 clinicians
Ascension Via Christi Hospitals Wichita IncGroup PAC ID 5799696944, 123 clinicians

Practice addresses (Care Compare)

3311 E Murdock St
Wichita, KS 67208-3054
Phone (316) 689-9349

612 N Andover Rd
Via Christi Clinic PA
Andover, KS 67002-9778
Phone (316) 733-6618

818 N Emporia St
Suite 303
Wichita, KS 67214-3727
Phone (316) 274-8250

848 N Saint Francis Ave
Suite 3901
Wichita, KS 67214-3858
Phone (316) 268-7030

929 N Saint Francis Ave
Wichita, KS 67214-3821

929 N Saint Francis St
Wichita, KS 67214-3821

Hospital & facility affiliations

  • Ascension Via Christi Hospitals Wichita, Inc. Hospital, Wichita, KS, CCN 170122
  • NMC Health Hospital, Newton, KS, CCN 170103
  • Kansas Heart Hospital Hospital, Wichita, KS, CCN 170186
  • Via Christi Hospital Wichita St Teresa, Inc Hospital, Wichita, KS, CCN 170200
  • Pratt Regional Medical Center Hospital, Pratt, KS, CCN 170027

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair70
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0420650KSMDInternal Medicine Physician
20650KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Via Christi Hospitals Wichita Inc. CurrentSince Aug 19, 2012 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. CurrentSince Aug 19, 2012 Accepting new patients
Ascension Medical Group Via Christi, PA CurrentSince Mar 16, 2009 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. Internal Medicine Past Accepting new patients
Via Christi Hospitals Wichita, Inc Past Accepting new patients
Heartland Cardiology, PA Internal Medicine Past Accepting new patients
Via Christi Hospitals Wichita, Inc. Past Accepting new patients
Via Christi Regional Medical Center Past Accepting new patients

Locations

818 N Emporia St
Ste 303
Wichita, KS 67214
Phone (316) 263-2013

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

3311 E Murdock St
Wichita, KS 67208
Phone (316) 689-9107

848 N Saint Francis Ave
Ste 3901
Wichita, KS 67214
Phone (316) 268-7030

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCHGAA
  • FHIR API: https://api.platform.athenahealth.com/20807/brand/4/csg/1/fhir/r4

Organizations & group practices 9

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 6

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1619921855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2969",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672012969",
            "telephone_number": "316-689-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 E MURDOCK",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67208",
            "telephone_number": "316-689-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGOLIS",
        "first_name": "P",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "20650",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "0420650",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "0420650",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "20650",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "KS",
            "license": "20650",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "KS",
            "license": "0420650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100425490K",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "MARGOLIS",
            "middle_name": "DAVID",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.