EL DORADO CLINIC, P.A.
NPI 1770559767
Family Medicine in El Dorado, KS

Active since February 28, 2006CLIA 17D0451007 · Certificate of Compliance
700 W CENTRAL AVE, STE 205, EL DORADO, KS 67042(316) 321-2010(316) 321-8871 Get Directions Write a Review

NPPES record last updated: February 19, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About El Dorado Clinic, P.a. NPPES

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

EL DORADO CLINIC, P.A. (NPI 1770559767) is a healthcare organization registered as a family medicine in El Dorado, Kansas and active in the NPI registry since February 2006. The organization holds a CLIA Certificate of Compliance certificate valid through November 30, 2026 and lists Cherrie T Kehler, Clinic Administrator, as its authorized official.

NPPES Registry Identity

NPI1770559767
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEL DORADO CLINIC, P.A.
Location Address700 W CENTRAL AVE, STE 205El Dorado, KS 67042-2184
Mailing Address700 W Central Ave, Ste 205El Dorado, KS 67042-2184 · (316) 321-2010 · Fax (316) 321-8871
Fax(316) 321-8871
Organization SubpartNo
Authorized OfficialCherrie T KehlerClinic Administrator · (316) 321-8850
Enumeration DateFebruary 28, 2006
Last NPPES UpdateFebruary 19, 2010
✔ NPI 1770559767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
700 W CENTRAL AVE, El Dorado, KS 67042

Other Identifiers 3

Medicaid100213650BKS
Medicare ID-Type Unspecified016238KS
Medicaid100213650AKS

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

El Dorado Clinic, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to El Dorado Clinic, P.A., which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Family Practice
NPI 1083685291
700 W CENTRAL AVE SUITE 205
El Dorado, KS 67042
(316) 321-2010
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1265423149
700 W CENTRAL AVE STE 205
El Dorado, KS 67042
(316) 321-2010
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1053706655
700 W CENTRAL AVE STE 205
El Dorado, KS 67042
(316) 321-2010
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1740783018
9350 E 35TH ST N STE 101
Wichita, KS 67226
(316) 265-1308
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1639884612
1010 N KANSAS ST
Wichita, KS 67214
(316) 293-2635
✔ PECOS✔ Accepts Medicare26 mi
Family Practice
NPI 1518345537
651 E PRESCOTT RD
Salina, KS 67401
(785) 825-7251
✔ PECOS✔ Accepts Medicare81 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 17D0451007

El Dorado Clinic · El Dorado, KS
Active · expires Nov 30, 2026
CLIA Number17D0451007
Laboratory TypeIndependent
Certificate Effective DateOctober 4, 2024
Certificate Expiration DateNovember 30, 2026
Laboratory DirectorChristopher Smart
Laboratory Phone(316) 321-2010
Laboratory LocationEl Dorado Clinic700 W Central, Ste 205, El Dorado, KS 67042
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 El Dorado Clinic, P.A.'s NPI number?

The NPI number for El Dorado Clinic, P.A. is 1770559767. It was assigned to this organization in the NPPES registry on February 28, 2006.

Where is El Dorado Clinic, P.A. located?

El Dorado Clinic, P.A. is located at 700 W Central Ave Ste 205, El Dorado, KS 67042. The listed phone number is (316) 321-2010.

What is El Dorado Clinic, P.A.'s specialty?

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

Is El Dorado Clinic, P.A. enrolled in Medicare?

Yes. El Dorado Clinic, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through El Dorado Clinic, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to El Dorado Clinic, P.A.. 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. The largest specialties are Family Practice (4) and Nurse Practitioner (2). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does El Dorado Clinic, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 17D0451007) is associated with this NPI, valid through November 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does El Dorado Clinic, P.A. 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. and 1 other insurer list El Dorado Clinic, P.A. 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 El Dorado Clinic, P.A. was last updated on February 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.