NPIMap

Individual provider Active NPI

Jordan Anthony Marshall, MD

  • Internal Medicine Physician
  • Wichita, KS
National Provider Identifier
1841816840
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
04-50962 Issued in KS
Practice address
2354 N Sandplum St
Wichita, KS 67205-1094
Phone
(316) 761-1415
NPI assigned
Jun 25, 2020
Last updated
May 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 04-50962 KS Primary
Pediatrics Physician 208000000X 04-50962 KS

Addresses

Primary practice location

2354 N Sandplum St
Wichita, KS 67205-1094

Mailing address

2354 N Sandplum St
Wichita, KS 67205-1094
Phone (316) 761-1415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250820004215 KS Practitioner - Internal Medicine 1355766528 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
William Newton Memorial HospitalGroup PAC ID 5294648937, 45 clinicians
Vigilias LLCGroup PAC ID 9133433279, 49 clinicians

Practice addresses (Care Compare)

1300 E 5TH Ave
Winfield, KS 67156-2407
Phone (620) 222-6270

425 N Belmont Ave
Wichita, KS 67208-3810
Phone 3165007549700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-50962KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vigilias LLC Multi-Specialty CurrentSince Jul 1, 2025 Accepting new patients
William Newton Memorial Hospital Multi-Specialty CurrentSince Aug 21, 2025 Accepting new patients
William Newton Memorial Hospital Multi-Specialty CurrentSince Aug 21, 2025 Accepting new patients
Commonspirit Kansas, Inc. Multi-Specialty Past Accepting new patients
Commonspirit Kansas, Inc. Past Accepting new patients

Locations

1201 W 12th Ave
Emporia, KS 66801
Phone (620) 343-2376

4723 E Douglas Ave
Wichita, KS 67218
Phone (316) 670-3800

801 E Douglas Ave
Fl 2ND
Wichita, KS 67202
Phone (316) 974-3161

1300 E 5th Ave
Winfield, KS 67156
Phone (620) 221-2300

Interoperability endpoints

  • Direct secure messaging: jordan.marshall.1@18308.direct.athenahealth.com

Organizations & group practices 5

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 10

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": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1841816840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2354 N SANDPLUM ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051094",
            "telephone_number": "316-761-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2354 N SANDPLUM ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051094",
            "telephone_number": "316-761-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "JORDAN",
        "middle_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-25",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-50962",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "04-50962",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.