Individual provider Active NPI

Donna M Bethel, D.O.

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1730139437
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0524104 Issued in KS
Practice address
2131 N Ridge Rd
Wichita, KS 67212-1570
Phone
(316) 773-1212
Fax
(316) 440-6601
NPI assigned
May 11, 2006
Last updated
Nov 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2018

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 0524104 KS Primary

Addresses

Primary practice location

2131 N Ridge Rd
Wichita, KS 67212-1570

Mailing address

2131 N Ridge Rd
Wichita, KS 67212-1570
Phone (316) 773-1212

Other identifiers 2

IdentifierTypeStateIssuer
105254OtherKSBCBS
100351540FMedicaidKS

Other names 1

  • Donna M St Clair Former name

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
I20060120000833 KS Practitioner - Family Practice 3173547809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Market Health Care LLCGroup PAC ID 6507770583, 6 clinicians

Practice addresses (Care Compare)

2131 N Ridge Rd
Wichita, KS 67212-1570
Phone 3167731212601

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0524104KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Market Health Care LLC Family Medicine CurrentSince Jan 1, 2006 Accepting new patients
Kansas Imaging Consultants, PA Past Accepting new patients

Locations

2131 N Ridge Rd
Wichita, KS 67212
Phone (316) 721-1200

2131 N Ridge Rd
Ste 101
Wichita, KS 67212

Interoperability endpoints

  • Direct secure messaging: donna.bethel@nmhc.eclinicaldirectplus.com

Organizations & group practices 2

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1730139437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 N RIDGE RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672121570",
            "telephone_number": "316-773-1212",
            "fax_number": "316-440-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 N RIDGE RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672121570",
            "telephone_number": "316-773-1212",
            "fax_number": "316-440-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETHEL",
        "first_name": "DONNA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0524104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "105254",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100351540F",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "ST CLAIR",
            "middle_name": "M",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.