Individual provider Active NPI

Sheryl M Beard, M.D.

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1669468328
Registry record updated Feb 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
428929 Issued in KS
Practice address
1121 S Clifton Ave
Wichita, KS 67218-2912
Phone
(316) 689-5500
Fax
(316) 691-6719
NPI assigned
Sep 27, 2005
Last updated
Feb 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2015

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 428929 KS Primary

Addresses

Primary practice location

1121 S Clifton Ave
Wichita, KS 67218-2912

Mailing address

PO Box 1897
Wichita, KS 67201-1897
Phone (316) 268-8131

Other identifiers 1

IdentifierTypeStateIssuer
200410300DMedicaidKS

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
I20050711000089 KS Practitioner - Family Practice 0244266526 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
428929KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group Via Christi, PA CurrentSince Nov 1, 2019 Accepting new patients
Inpatient Consultants of Kansas PA Family Medicine CurrentSince Jun 7, 2013 Accepting new patients
Ascension Via Christi Rehabilitation Hospital, Inc. Family Medicine CurrentSince Feb 1, 2009 Accepting new patients
Ascension Medical Group Via Christi, PA CurrentSince Nov 1, 2019 Accepting new patients
Inpatient Consultants of Kansas PA Family Medicine CurrentSince Jun 7, 2013 Accepting new patients
Via Christi Immediate Care, Mother Mary Anne Inc. Past Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. Past Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. Family Medicine Past Accepting new patients

Locations

1124 W 21st St
Andover, KS 67002
Phone (316) 300-4000

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

1131 S Clifton Ave
Ste B
Wichita, KS 67218
Phone (316) 462-1040

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

501 N Maize Rd
Wichita, KS 67212
Phone (316) 685-1382

707 N Emporia St
Wichita, KS 67214
Phone (316) 858-3460

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

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ascension Via Christi Hospitals Wichita IncWichita, KS, CCN 170122 Hospital Corporate Director Jul 1, 2018
Ascension Via Christi Hospitals Wichita IncWichita, KS, CCN 17S122 Hospital Corporate Director Jul 1, 2018
Ascension Via Christi Hospital St Teresa Inc.Wichita, KS, CCN 170200 Hospital Corporate Director Jul 1, 2018

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423267200000",
    "number": "1669468328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1897",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672011897",
            "telephone_number": "316-268-8131",
            "fax_number": "316-291-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 S CLIFTON AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182912",
            "telephone_number": "316-689-5500",
            "fax_number": "316-691-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "SHERYL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2015-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "428929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200410300D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.