Organization Active NPI

Donald C Fletcher MD LLC

  • Physical Medicine & Rehabilitation Physician
  • Wichita, KS
National Provider Identifier
1750614293
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
04-33631 Issued in KS
Legal business name
DONALD C FLETCHER MD LLC
Practice address
610 N Main St FL 2
Wichita, KS 67203-3618
Phone
(316) 440-1681
Fax
(316) 440-1695
NPI assigned
Sep 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Authorized official

Name
Dr. Donald C Fletcher, M.D.NPI 1689633638
Title
Member
Phone
(316) 440-1681

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 04-33631 KS
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 04-33631 KS Primary

Addresses

Primary practice location

610 N Main St FL 2
Wichita, KS 67203-3618

Mailing address

610 N Main St FL 2
Wichita, KS 67203-3618
Phone (316) 440-1681

Other identifiers 1

IdentifierTypeStateIssuer
KA1533OtherKSPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091103000617 KS Part B Supplier - Clinic/Group Practice 2163560699 Receives reassigned benefits from 1 practitioner
Practice locations: Wichita, KS

National Provider Directory

National Provider Directory

Locations

610 N Main St
Fl 2
Wichita, KS 67203
Phone (316) 440-1600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1750614293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N MAIN ST FL 2",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033618",
            "telephone_number": "316-440-1681",
            "fax_number": "316-440-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N MAIN ST FL 2",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033618",
            "telephone_number": "316-440-1681",
            "fax_number": "316-440-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD C FLETCHER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "316-440-1681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "04-33631",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KS",
            "license": "04-33631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "KA1533",
            "state": "KS"
        }
    ],
    "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 Aug 12, 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.