OrganizationActive
Centerwell Senior Primary Care Ks PA
NPI 1013737576 · Internal Medicine Physician · Wichita, KS
Provider details
- NPI number
- 1013737576
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Centerwell Senior Primary Care Ks PA
- Organization subpart
- Yes
- Authorized official
- Megan Galvan, Credentialing Manager(305) 500-2000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
961 S Glendale St
Wichita, KS 67218-3210
Phone: (316) 618-9555
Street-level locationGet directions
Mailing address
6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Other names (DBA / former)
- Doing business as
- Centerwell Senior Primary Care (ks) PA - Parklane
Registry dates
- Enumerated
- 2024-10-10
- Last updated
- 2025-05-30
- Certified
- 2025-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.