Active NPI
Edward K Cusick, DO
- Family Medicine Physician
- Wichita, KS
National Provider Identifier
1790743656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 05-17403
- Practice address
- 8444 W 21St St N
Wichita, KS 67205-1752 - Phone
- (316) 721-9500
- Fax
- (316) 721-9574
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 05-17403 | KS | Primary |
Addresses
Primary practice location
8444 W 21St St N
Wichita, KS 67205-1752
Mailing address
PO Box 764
Wichita, KS 67201-0764
Phone (316) 721-9500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-17403 | KS | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1790743656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 764",
"city": "WICHITA",
"state": "KS",
"postal_code": "672010764",
"telephone_number": "316-721-9500",
"fax_number": "316-721-9574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8444 W 21ST ST N",
"city": "WICHITA",
"state": "KS",
"postal_code": "672051752",
"telephone_number": "316-721-9500",
"fax_number": "316-721-9574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUSICK",
"first_name": "EDWARD",
"middle_name": "K",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "05-17403",
"primary": true
}
],
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.