Justin Lee Theleman, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

04-46154 Issued in KS

Practice address

800 Ravenhill Dr
Atchison, KS 66002-9204

Phone

(913) 367-2131

Fax

(913) 674-2040

NPI assigned

Apr 28, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Emergency Medicine

Education

University of Kansas School of Med (KC/Wich/Sal), 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hiawatha Hospital Association IncGroup PAC ID 9032007364, shared by 5 NPIs, 47 clinicians

Amberwell Atchison AssociationGroup PAC ID 2466363858, 54 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amberwell Atchison Association Hospital, Atchison, KS, CCN 171382

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Amberwell Atchison Association

  • Critical Access Hospital
  • Atchison, KS
  • NPI 1932151487
  Medicare reassignment Care Compare group NPD
• Hiawatha Hospital Association Inc

  • Critical Access Hospital
  • Hiawatha, KS
  • NPI 1255421210
  Medicare reassignment
• Hiawatha Hospital Association Inc

  • Nutrition Education Nutritionist
  • Hiawatha, KS
  • NPI 1518572395
  Medicare reassignment
• Amberwell Atchison Association

  • Family Medicine Physician
  • Atchison, KS
  • NPI 1528450913

  Emergency Medicine

  NPD
• Amberwell Atchison Association

  • Rural Health Clinic/Center
  • Herington, KS
  • NPI 1700669819
  NPD
• Hiawatha Hospital Association Inc

  • Family Medicine Physician
  • Hiawatha, KS
  • NPI 1831273044

  Emergency Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amberwell Atchison Association

  • Critical Access Hospital
  • Atchison, KS
  • NPI 1932151487
  Care Compare affiliation

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

{
    "created_epoch": "1556409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1952965634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 RAVENHILL DR",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660029204",
            "telephone_number": "913-367-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 RAVENHILL DR",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660029204",
            "telephone_number": "913-367-2131",
            "fax_number": "913-674-2040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Utah St",
            "address_purpose": "LOCATION",
            "city": "Hiawatha",
            "state": "KS",
            "postal_code": "664342326",
            "country_code": "US",
            "telephone_number": "785-742-2131",
            "fax_number": "785-742-6558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THELEMAN",
        "first_name": "JUSTIN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-28",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "04-46154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "16289099",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200155980",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004870690001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon Tackett
• Abdel K Tayiem, M.D.
• The Ivy Foundation LLC
• The Ivy Foundation LLC
• The Ivy Foundation LLC
• Thomas Family Practice, LLC
• Ryan M. Thomas, MD
• David John Thompson, PT
• Jordan Kane Thompson, DDS
• Mark Tolmachoff, LMLP

• Emergency Medicine Physician in Atchison, KS
• Providers in Atchison, KS by specialty
• Emergency Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.

Verify at the official NPI Registry.