Active NPI
David P Sulzman, PA
- Physician Assistant
- Wichita, KS
National Provider Identifier
1952352726
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Jan 19, 2023.
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1500464
- Practice address
- 3450 N Rock Rd Ste 503
Wichita, KS 67226-1355 - Phone
- (316) 312-0002
- Fax
- (316) 854-5644
- NPI assigned
- May 15, 2006
- Last updated
- Apr 12, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1500464 | KS | Primary |
Addresses
Primary practice location
3450 N Rock Rd Ste 503
Wichita, KS 67226-1355
Mailing address
3450 N Rock Rd Ste 503
Wichita, KS 67226-1355
Phone (316) 312-0002
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100447410A | Medicaid | KS | |
| 100447410E | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wichita Medical Associates, PA | Past | Accepting new patients | |
| Neurology Consultants of Kansas LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FJHFCD
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.
-
- Neurology Physician
- Wichita, KS
- NPI 1760474936
-
- Geriatric Medicine (Internal Medicine) Physician
- Wichita, KS
- NPI 1396796991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523491200000",
"number": "1952352726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 N ROCK RD STE 503",
"city": "WICHITA",
"state": "KS",
"postal_code": "672261355",
"telephone_number": "316-312-0002",
"fax_number": "316-854-5644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 N ROCK RD STE 503",
"city": "WICHITA",
"state": "KS",
"postal_code": "672261355",
"telephone_number": "316-312-0002",
"fax_number": "316-854-5644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULZMAN",
"first_name": "DAVID",
"middle_name": "P",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2018-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KS",
"license": "1500464",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100447410A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100447410E",
"state": "KS"
}
],
"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 Apr 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.