JONATHON J BARTHOLOMEW (PA) – Physician Assistant, NPI 1235211699

JONATHON J BARTHOLOMEW (PA) is a healthcare provider. based in Wichita, Kansas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 15-00616 (KS). The NPI Number for JONATHON J BARTHOLOMEW (PA) is 1235211699

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
JONATHON J BARTHOLOMEW (PA)
NPI
1235211699
Phone
(316) 440-2565
Address
4722 W KELLOGG DR
Enumeration Date
19 October 2006
Last Update Date
30 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3164402565
Graduation Year
1998 (28 years ago)
PAC ID
6406896018
Group Practice PAC ID
7618042698
Professional Enrollment ID
I20050503000966
Address ID
KS672092508WI4722XDRXX400

Contacts

Secure Messaging
billing@imcwichita.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,303 PHYSICIAN ASSISTANT in KS

Provider Addresses for JONATHON J BARTHOLOMEW (PA)

  • 4722 W KELLOGG DR

    WICHITA, KS 672092508

    Phone: (316) 440-2565

    Fax: (316) 440-2750

    Type: Mailing

  • Denver Post Office, West Fayette Street, Denver, Bremer County, Iowa, 50622, United States

    DENVER, CO 802175607

    Phone: (303) 306-7783

    Fax: (303) 306-7753

    Type: Mailing

  • Wesley Medical Center, 550, North Hillside Street, Wichita, Sedgwick County, Kansas, 66214, United States

    WICHITA, KS 672144910

    Phone: (316) 962-2239

    Fax: (303) 306-7753

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-05-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050503000966IPhysician AssistantKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
87804Detection test by immunoassay with direct visual observation for influenza virus4522$0
99214Established patient office or other outpatient visit, 30-39 minutes3732$0
99203New patient office or other outpatient visit, 30-44 minutes3030$0
99213Established patient office or other outpatient visit, 20-29 minutes2424$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)2322$0
View full utilization report →

Insurance plans in this area (ZIP 67209)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618042698View full group profile
NameSpecialtyState
Physician AssistantKS
-KS
Physician AssistantKS
-KS
Nurse PractitionerKS
Physician AssistantKS
Physician AssistantKS
Physician AssistantKS
Physician AssistantKS
Internal Medicine, Pediatric Medicine, Internal Medicine, Emergency MedicineOK

Reviews

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Frequently asked questions

Can I use this page to confirm JONATHON J BARTHOLOMEW (PA)'s NPI?
Yes. JONATHON J BARTHOLOMEW (PA) is listed with NPI 1235211699 in the public NPI dataset.
Does the file indicate JONATHON J BARTHOLOMEW (PA) is practicing under active NPI?
Directory data currently reports JONATHON J BARTHOLOMEW (PA) as active.
What taxonomy line describes JONATHON J BARTHOLOMEW (PA)?
For research purposes, treat JONATHON J BARTHOLOMEW (PA) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect JONATHON J BARTHOLOMEW (PA) on a map?
Expect Wichita, Kansas as a primary anchor for JONATHON J BARTHOLOMEW (PA) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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