DR. LARRY DAVID JR. MITNAUL (M.D., M.P.H., M.S.) – Child & Adolescent Psychiatry Physician, NPI 1659633709
Child & Adolescent Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
249 PSYCHIATRY in KS
Provider Addresses for DR. LARRY DAVID JR. MITNAUL (M.D., M.P.H., M.S.)
1515 S CLIFTON AVE STE 300
WICHITA, KS 672182953
Phone: (316) 858-0550
Fax: (316) 858-0596
Mailing address matches the actual address.
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.
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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: 2017-08-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170802000572 | I | Psychiatry | KS | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 67218)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KS | |
| Cardiovascular Disease (Cardiology), Internal Medicine | KS | |
| Family Practice | KS | |
| - | KS | |
| Nurse Practitioner | KS | |
| - | KS | |
| Qualified Audiologist | KS | |
| Cardiovascular Disease (Cardiology), Internal Medicine | KS | |
| Internal Medicine | KS | |
| Physician Assistant | KS |
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