MITCHELL MAHAN STUDENT
NPI 1366221467
Family Medicine in Wichita, KS

Q: What is Mitchell Mahan's NPI number?

The NPI number for Mitchell Mahan is 1366221467. It was assigned to this individual provider in the NPPES registry on September 27, 2023.

Q: What is Mitchell Mahan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mitchell Mahan was last updated on July 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 27, 2023PECOS Enrolled

1121 S CLIFTON AVE, WICHITA, KS 67218(316) 689-5500 Get Directions Write a Review

NPPES record last updated: July 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mitchell Mahan Student NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MITCHELL MAHAN STUDENT (NPI 1366221467) is an individual family medicine provider in Wichita, Kansas, licensed in Kansas (94-11909) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366221467

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMITCHELL MAHANCredential: STUDENT

Location Address1121 S CLIFTON AVEWichita, KS 67218-2912

Mailing Address1121 S Clifton AveWichita, KS 67218-2912 · (316) 689-5500

Phone(316) 689-5500

Sole ProprietorNo

Enumeration DateSeptember 27, 2023

Last NPPES UpdateJuly 6, 2024

NPPES CertifiedJuly 6, 2024

✔ NPI 1366221467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KS · 94-11909

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1121 S CLIFTON AVE, Wichita, KS 67218

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mitchell Mahan Student is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67218 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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