Margo Chediak, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

15-01260 Issued in KS

Practice address

631 SW Horne St
Suite 420
Topeka, KS 66606-1694

Phone

(785) 295-7878

Fax

(785) 234-6301

NPI assigned

Aug 4, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Margo Shelton Former name

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

Specialty

Physician Assistant

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Topeka Physician Group LLCGroup PAC ID 6406112473, 149 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mchediak10089@stormontvaildirect.org
• Direct secure messaging: mchediak190657@ahs.direct-ci.com

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.

• Topeka Physician Group, LLC

  • Internal Medicine Physician
  • Topeka, KS
  • NPI 1770008849

  KS

  Medicare reassignment Care Compare group NPD (past)
• Topeka Physician Group, LLC

  • Rural Health Clinic/Center
  • Valley Falls, KS
  • NPI 1902395262
  Care Compare group

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1972912947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 SW HORNE ST",
            "address_2": "SUITE 420",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061694",
            "telephone_number": "785-295-7878",
            "fax_number": "785-234-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 SW HORNE ST",
            "address_2": "SUITE 420",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061694",
            "telephone_number": "785-295-7878",
            "fax_number": "785-234-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEDIAK",
        "first_name": "MARGO",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-04",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "15-01260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGO",
            "last_name": "SHELTON",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew J Chavez
• Melissa J Chavez, LSCSW
• Ramon Luis Chavez
• Romualdo Ray Chavez
• Gregory Chediak, MD
• Chu-CHI Chen, M.D.
• Lynne H Chen, APRN
• Chester R Davis MD PA
• Jori Childs, AUD
• Sacha Anne Childs

• All providers in Topeka, KS
• Medical Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.