Individual provider Active NPI

Nicholas Andrew Tomsen, MD

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1831485317
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-35923 Issued in KS
Practice address
1126 S Clifton Ave
Wichita, KS 67218-2913
Phone
(316) 350-8008
Fax
(316) 350-8020
NPI assigned
Jun 23, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7701 KS
Family Medicine Physician 207Q00000X 04-35923 KS Primary

Addresses

Primary practice location

1126 S Clifton Ave
Wichita, KS 67218-2913

Mailing address

1126 S Clifton Ave
Wichita, KS 67218-2913
Phone (316) 350-8008

Other practice location 1

1010 N. Kansas
Wcgme
Wichita, KS 67214
Phone (316) 268-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Nov 20, 2018 through Nov 20, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-35923KSMDFamily Medicine Physician
7701KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Antioch Med Family Medicine PastSince Sep 29, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1831485317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 S CLIFTON AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182913",
            "telephone_number": "316-350-8008",
            "fax_number": "316-350-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 S CLIFTON AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182913",
            "telephone_number": "316-350-8008",
            "fax_number": "316-350-8020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 N. Kansas",
            "address_2": "WCGME",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "67214",
            "country_code": "US",
            "telephone_number": "316-268-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOMSEN",
        "first_name": "NICHOLAS",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-23",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "7701",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-35923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.