Individual provider Active NPI

Paul Henry Cheatum, MD

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1952367534
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0428268 Issued in KS
Practice address
10096 E 13TH St N
Ste 144
Wichita, KS 67206-2645
Phone
(316) 634-6622
Fax
(316) 630-9461
NPI assigned
Apr 24, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0428268 KS Primary
Phlebology Physician 202K00000X 0428268 KS

Addresses

Primary practice location

10096 E 13TH St N
Ste 144
Wichita, KS 67206-2645

Mailing address

15 S Lynwood Blvd
Eastborough, KS 67207-1037
Phone (316) 558-8041

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
I20040816001043 KS Practitioner - Vascular SurgeryPractitioner - Family Practice 0244203495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of Kansas School of Med (KC/Wich/Sal), 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Phlebology, LLCGroup PAC ID 9436207164, 2 clinicians

Practice addresses (Care Compare)

10523 E 21St St N
Wichita, KS 67206-3582

1206 W Frontview St
Dodge City, KS 67801-2016
Phone (316) 425-7980

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal386

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin Phlebology Medical Group SC Phlebology Past Accepting new patients
Wesley Medical Center LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: paul.cheatum.p1@direct.innovativevein.nextgenshare.com

Organizations & group practices 4

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": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1952367534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S LYNWOOD BLVD",
            "city": "EASTBOROUGH",
            "state": "KS",
            "postal_code": "672071037",
            "telephone_number": "316-558-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10096 E 13TH ST N",
            "address_2": "STE 144",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062645",
            "telephone_number": "316-634-6622",
            "fax_number": "316-630-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEATUM",
        "first_name": "PAUL",
        "middle_name": "HENRY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0428268",
            "primary": true
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "KS",
            "license": "0428268",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.