Active NPI
Jordan James Stiverson, MD
- Urology Physician
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 04-51415
- Practice address
- 2626 N Webb Rd
Wichita, KS 67226-8110 - Phone
- (316) 636-6100
- Fax
- (316) 636-5813
- NPI assigned
- Mar 17, 2020
- Last updated
- Nov 24, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 04-51415 | KS | Primary |
Addresses
Primary practice location
2626 N Webb Rd
Wichita, KS 67226-8110
Mailing address
2626 N Webb Rd
Wichita, KS 67226-8110
Phone (316) 636-6100
Other practice location 1
2077 N Webb Rd
Wichita, KS 67206-3411
Phone (316) 636-6100
Other practice location 2
7570 W 21st St N Ste 1014A
Wichita, KS 67205-1764
Phone (316) 636-6100
Other practice location 3
1600 E 1st St
Pratt, KS 67124-2070
Phone (316) 636-6100
Other practice location 4
1515 N Clifton Ave
Ste 250
Wichita, KS 67218
Phone (316) 636-6100
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2626 N Webb Rd
Wichita, KS 67226-8110
Phone (316) 636-6100
Hospital & facility affiliations
- Ascension Via Christi Hospitals Wichita, Inc.
- Wesley Medical Center
- Via Christi Hospital Wichita St Teresa, Inc
- William Newton Hospital
- Kansas Spine & Specialty Hospital, LLC
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-51415 | KS | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wichita Urology Group P.a. | Urology | Current | Accepting new patients |
| Kansas Spine Anesthesia Corporation PA | Past | Accepting new patients |
Locations
1600 E 1st St
Pratt, KS 67124
Phone (620) 770-4117
2077 N Webb Rd
Wichita, KS 67206
Phone (316) 636-6100
2626 N Webb Rd
Wichita, KS 67226
Phone (316) 636-6100
7570 W 21st St N
Ste 1014A
Wichita, KS 67205
Phone (316) 636-6100
Organizations & group practices 2
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.
-
- Urology Physician
- Wichita, KS
- NPI 1639157498
-
- Pain Medicine (Anesthesiology) Physician
- Wichita, KS
- NPI 1720345911
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wichita, KS
- NPI 1023334950
-
- General Acute Care Hospital
- Wichita, KS
- NPI 1154314789
-
dba Kansas Spine & Specialty Hospital Pain Center
- Pain Medicine (Anesthesiology) Physician
- Wichita, KS
- NPI 1033628243
Hospital
-
- General Acute Care Hospital
- Wichita, KS
- NPI 1417950650
-
dba Wesley Medical Center
- General Acute Care Hospital
- Wichita, KS
- NPI 1447299649
-
- Critical Access Hospital
- Winfield, KS
- NPI 1548229149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763942400000",
"number": "1891321378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2626 N WEBB RD",
"city": "WICHITA",
"state": "KS",
"postal_code": "672268110",
"telephone_number": "316-636-6100",
"fax_number": "316-636-5813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2626 N WEBB RD",
"city": "WICHITA",
"state": "KS",
"postal_code": "672268110",
"telephone_number": "316-636-6100",
"fax_number": "316-636-5813"
}
],
"practiceLocations": [
{
"address_1": "2077 N Webb Rd",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672063411",
"country_code": "US",
"telephone_number": "316-636-6100",
"fax_number": "316-636-5813",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7570 W 21st St N Ste 1014A",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672051764",
"country_code": "US",
"telephone_number": "316-636-6100",
"fax_number": "316-636-5813",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1600 E 1st St",
"address_purpose": "LOCATION",
"city": "Pratt",
"state": "KS",
"postal_code": "671242070",
"country_code": "US",
"telephone_number": "316-636-6100",
"fax_number": "316-636-5813",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1515 N Clifton Ave",
"address_2": "Ste 250",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "67218",
"country_code": "US",
"telephone_number": "316-636-6100",
"fax_number": "316-636-5813",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STIVERSON",
"first_name": "JORDAN",
"middle_name": "JAMES",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-17",
"last_updated": "2025-11-24",
"certification_date": "2025-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "KS",
"license": "04-51415",
"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 Nov 24, 2025; 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.