Individual provider Active NPI

Benjamin John Lagaly, PA-C

  • Physician Assistant
  • Wichita, KS
National Provider Identifier
1932767332
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-02275 Issued in KS
Practice address
6401 W 34TH St N
Wichita, KS 67205-2542
Phone
(316) 312-4374
NPI assigned
May 31, 2019
Last updated
Aug 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-02275 KS Primary

Addresses

Primary practice location

6401 W 34TH St N
Wichita, KS 67205-2542

Mailing address

6401 W 34TH St N
Wichita, KS 67205-2542
Phone (316) 312-4374

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191125000065 KS Practitioner - Physician Assistant 9133551500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1325 Research Park Dr
Manhattan, KS 66502-5000
Phone (785) 270-8723

901 SW Garfield Ave
Topeka, KS 66606-1670
Phone (785) 354-9591

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Jan 25, 2021 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Jan 25, 2021 Accepting new patients

Locations

1014 Poyntz Ave
Ste B
Manhattan, KS 66502
Phone (785) 539-0156

1213 Hylton Heights Rd
Ste 101
Manhattan, KS 66502
Phone (785) 539-0156

1325 Research Park Dr
Manhattan, KS 66502
Phone (785) 537-2651

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

901 SW Garfield Ave
Topeka, KS 66606

Interoperability endpoints

  • Direct secure messaging: blagaly105949@stormontvaildirect.org

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.

Hospital & facility affiliations 4

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": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1932767332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 W 34TH ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672052542",
            "telephone_number": "316-312-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 W 34TH ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672052542",
            "telephone_number": "316-312-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGALY",
        "first_name": "BENJAMIN",
        "middle_name": "JOHN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-31",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-02275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.