Kenneth Sultemeier, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

H0862 Issued in TX

Practice address

501 Midwestern Pkwy E
Wichita Falls, TX 76302-2302

Phone

(940) 766-3551

NPI assigned

Jan 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Merit-based Incentive Payment System (MIPS)

Final score

81.34 of 100Reported as group

Quality

72.51

Promoting interoperability

100

Improvement activities

40

Cost

65.28

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
• Direct secure messaging: ksultemeier14800@unitedregional.medalliesdirect.net
• Direct secure messaging: kennethsultemeier@cntllp.allscriptsdirect.net
• FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clinics of North Texas LLP

  • Diagnostic Radiology Physician
  • Wichita Falls, TX
  • NPI 1124007760
  Medicare reassignment NPD
• Clinics of North Texas LLP

  • Family Medicine Physician
  • Wichita Falls, TX
  • NPI 1720067358

  Pediatrics

  NPD
• United Regional Health Care System Inc

  dba United Regional Heath Care System

  • General Acute Care Hospital
  • Wichita Falls, TX
  • NPI 1023013448
  NPD

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424908800000",
    "number": "1831177070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MIDWESTERN PKWY E",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763022302",
            "telephone_number": "940-766-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MIDWESTERN PKWY E",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763022302",
            "telephone_number": "940-766-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULTEMEIER",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2015-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "H0862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1202004-04",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Magan Moore Styles, DPT
• Lacey Suarez
• Success on the Spectrum PPCC Inc
• Shonalatha Sudarshan, MD
• Sriram Sudarshan, MD
• Summit Pain and Wellness, PLLC
• Sanjoy Sundaresan, M.D.
• Janelle Sununtnasuk, DPT
• Susan Strate (North Texas Medical Laboratory)
• Beth H. Sutton

• Pediatrics Physician in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.