Individual provider Active NPI

Cassandra Gerlach, MD

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1790046662
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0438095 Issued in KS
Practice address
8200 W Central Ave
Suite One
Wichita, KS 67212-9503
Phone
(316) 721-4544
NPI assigned
Jun 6, 2012
Last updated
Oct 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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 0438095 KS Primary

Addresses

Primary practice location

8200 W Central Ave
Suite One
Wichita, KS 67212-9503

Mailing address

8200 W Central Ave
Suite One
Wichita, KS 67212-9503
Phone (316) 722-6260

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
I20151013001443 KS Practitioner - Family Practice 6305094087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8200 W Central Ave
Suite 1
Wichita, KS 67212-3661
Phone (316) 721-4544

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0438095KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Wichita Family Physicians, P.a. Family Medicine Current Accepting new patients
West Wichita Family Physicians, P.a. Current Accepting new patients
West Wichita Family Physicians, P.a. Family Medicine CurrentSince Oct 5, 2015 Accepting new patients

Locations

8200 W Central Ave
Wichita, KS 67212
Phone (316) 491-6330

8200 W Central Ave
Ste 1
Wichita, KS 67212
Phone (316) 721-4544

8200 W Central Ave
Ste 4
Wichita, KS 67212
Phone (316) 721-4910

Interoperability endpoints

  • Direct secure messaging: cassandra.gerlach@khindirect.org
  • Direct secure messaging: cassandra.gerlach@wwfp.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EJDEBA

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1790046662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 W CENTRAL AVE",
            "address_2": "SUITE ONE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672129503",
            "telephone_number": "316-722-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 W CENTRAL AVE",
            "address_2": "SUITE ONE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672129503",
            "telephone_number": "316-721-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERLACH",
        "first_name": "CASSANDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0438095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.