Individual provider Active NPI

Timothy Michael Koehler, D.O.

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1871596684
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0523700 Issued in KS
Practice address
3730 N Ridge Rd
Ste 100
Wichita, KS 67205-1228
Phone
(316) 462-6200
Fax
(316) 462-6214
NPI assigned
May 24, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 0523700 KS Primary

Addresses

Primary practice location

3730 N Ridge Rd
Ste 100
Wichita, KS 67205-1228

Mailing address

3730 N Ridge Rd
Ste 100
Wichita, KS 67205-1228
Phone (316) 462-6200

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
I20100305000182 KS Practitioner - Family Practice 0840336574 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0523700KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Family Physicians, LLC Family Medicine CurrentSince Jun 20, 2001 Accepting new patients

Locations

3730 N Ridge Rd
Ste 100
Wichita, KS 67205
Phone (316) 462-6200

Interoperability endpoints

  • Direct secure messaging: timothy.koehler@khindirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1871596684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 N RIDGE RD",
            "address_2": "STE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051228",
            "telephone_number": "316-462-6200",
            "fax_number": "316-462-6214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 N RIDGE RD",
            "address_2": "STE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051228",
            "telephone_number": "316-462-6200",
            "fax_number": "316-462-6214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHLER",
        "first_name": "TIMOTHY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0523700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.