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LARRY A DERKSEN D.O. NPI 1760493779


NPI Information

NPI: 1760493779
Provider Name: LARRY A DERKSEN, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: WEST WICHITA FAMILY PHYSICIANS, P.A.

PECOS Registration: Yes

Address:
8200 W CENTRAL AVE
SUITE 1
WICHITA, KS
ZIP 67212
Phone: (316) 722-6260
Get Directions

Larry A Derksen, D.O. is a family medicine in Wichita, KS with 34 years of experience. The provider is 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. Larry A Derksen, D.O. NPI is 1760493779. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduation Year:1990

The provider's business location address is:

8200 W CENTRAL AVE
SUITE 1
WICHITA, KS
ZIP 67212-503
Phone: (316) 722-6260
Fax: (316) 721-8307

The NPI 1760493779 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • Hemoglobin A1C level (HCPCS:83036)
  • Osteopathic manipulative treatment to 5-6 body regions (HCPCS:98927)
  • Osteopathic manipulative treatment to 3-4 body regions (HCPCS:98926)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous (HCPCS:G0328)
  • Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 8/11/2006 and was last updated on 2/14/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine523839KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1052013OTHERKANSASBLUE CROSS BLUE SHIELD
24332116OTHERKANSASAETNA
3052013MEDICARE ID-TYPE UNSPECIFIEDKANSAS
4E91147MEDICARE UPINKANSAS
5080110403OTHERKANSASTRAVELERS MEDICARE
62863OTHERKANSASPREFERRED HEALTH SYSTEMS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.