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KANSAS PLASTIC SURGERY, LLC
NPI 1720523251
Plastic Surgery in Wichita, KS

Active since December 19, 2016
10111 E 21ST ST N STE 305, WICHITA, KS 67206(316) 305-9618(316) 440-9701 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 7, 2021, Dec 19, 2016 (2 updates tracked since 2016).

About Kansas Plastic Surgery, Llc NPPES

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

KANSAS PLASTIC SURGERY, LLC (NPI 1720523251) is a healthcare organization registered as a plastic surgery in Wichita, Kansas and active in the NPI registry since December 2016. The organization lists Kenton W Schoonover, Owner, as its authorized official.

NPPES Registry Identity

NPI1720523251
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameKANSAS PLASTIC SURGERY, LLC
Location Address10111 E 21ST ST N STE 305Wichita, KS 67206-3581
Mailing Address10111 E 21st St N Ste 305Wichita, KS 67206-3581 · (316) 305-9618 · Fax (316) 440-9701
Phone(316) 305-9618
Fax(316) 440-9701
Organization SubpartNo
Authorized OfficialKenton W SchoonoverOwner · (316) 305-9618
Enumeration DateDecember 19, 2016
Last NPPES UpdateApril 7, 20212 updates tracked since enumeration
NPPES CertifiedApril 7, 2021
✔ NPI 1720523251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in KS · 04-27772
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
10111 E 21ST ST N STE 305, Wichita, KS 67206
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kansas Plastic Surgery, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Kansas Plastic Surgery, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Kenton Schoonover, MD
Plastic and Reconstructive Surgery
NPI 1780611178
10111 E 21ST ST N STE 305
Wichita, KS 67206
(316) 305-9618
✔ PECOS✔ Accepts MedicareSame address
Kristin Miller, APRN
Nurse Practitioner
NPI 1619255312
1923 N GREENWICH RD
Wichita, KS 67206
(316) 305-9618
✔ PECOS✔ Accepts Medicare0.8 mi
Omar Elfanagely, MD
Plastic and Reconstructive Surgery
NPI 1932639093
1923 N GREENWICH RD
Wichita, KS 67206
(316) 305-9618
✔ PECOS0.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kansas Plastic Surgery, LLC's NPI number?

The NPI number for Kansas Plastic Surgery, LLC is 1720523251. It was assigned to this organization in the NPPES registry on December 19, 2016.

Where is Kansas Plastic Surgery, LLC located?

Kansas Plastic Surgery, LLC is located at 10111 E 21st St N Ste 305, Wichita, KS 67206. The listed phone number is (316) 305-9618.

What is Kansas Plastic Surgery, LLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Kansas Plastic Surgery, LLC enrolled in Medicare?

Yes. Kansas Plastic Surgery, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kansas Plastic Surgery, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Kansas Plastic Surgery, LLC, in Nurse Practitioner and Plastic and Reconstructive Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kansas Plastic Surgery, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. list Kansas Plastic Surgery, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kansas Plastic Surgery, LLC was last updated on April 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.