NPIMap

Organization Active NPI

Telehealth Medical Services of KS PA

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1720739402
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TELEHEALTH MEDICAL SERVICES OF KS PA
Practice address
801 E Douglas Ave FL 2
Wichita, KS 67202-3548
Phone
(844) 301-0093
NPI assigned
Jan 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Authorized official

Name
Aiden Feng, MDNPI 1265888994
Title
Owner/President
Phone
(844) 301-0093

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Urgent Care Clinic/Center 261QU0200X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

801 E Douglas Ave FL 2
Wichita, KS 67202-3548

Mailing address

228 Park Ave South, PMB 31583
New York, NY 10003-1502
Phone (844) 310-0093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, FL, TX, SC, MD, OK, KY, AZ, PA9 enrollments

Enrollment records 9

Enrollment IDStateProvider typePAC IDDetails
O20220225001918 TN Part B Supplier - Clinic/Group Practice 3476947946 Receives reassigned benefits from 3 practitioners
Practice locations: Chattanooga, TN; Franklin, TN; Lenoir City, TN
O20220301002758 FL Part B Supplier - Clinic/Group Practice 3476947946 Receives reassigned benefits from 3 practitioners
Practice locations: Miami, FL; Orlando, FL
O20220303001724 TX Part B Supplier - Clinic/Group Practice 3476947946 Receives reassigned benefits from 2 practitioners
Practice locations: Temple, TX; Cypress, TX
O20220403000010 SC Part B Supplier - Clinic/Group Practice 3476947946 Receives reassigned benefits from 1 practitioner
Practice locations: Myrtle Beach, SC
O20220406000720 MD Part B Supplier - Clinic/Group Practice 3476947946 Receives reassigned benefits from 1 practitioner
Practice locations: Berlin, MD
O20220518001067 OK Part B Supplier - Clinic/Group Practice 3476947946 Receives reassigned benefits from 2 practitioners
Practice locations: Tulsa, OK; Woodward, OK
O20230808002283 KY Part B Supplier - Clinic/Group Practice 3476947946 Receives reassigned benefits from 1 practitioner
Practice locations: Louisville, KY
O20240216002891 AZ Part B Supplier - Clinic/Group Practice 3476947946 Receives reassigned benefits from 1 practitioner
Practice locations: Mesa, AZ
O20260226004293 PA Part B Supplier - Clinic/Group Practice 3476947946 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

5335 N Kings Hwy
#618
Myrtle Beach, SC 29577
Phone (949) 375-0203

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1720739402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 PARK AVE SOUTH, PMB 31583",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031502",
            "telephone_number": "844-310-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E DOUGLAS AVE FL 2",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023548",
            "telephone_number": "844-301-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEHEALTH MEDICAL SERVICES OF KS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-13",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "FENG",
        "authorized_official_first_name": "AIDEN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "844-301-0093",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.