Micholee Beth Polsak, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

05350404 Issued in KS

Practice address

3901 Rainbow Blvd, 6040 Delp, Ms 1020
Kansas University Physicians Inc
Kansas City, KS 66160

Phone

(913) 588-3974

Fax

(913) 588-6055

NPI assigned

Jun 30, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Micholee Beth Emerson Former name

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Faith Home Healthcare, Inc Home health agency, Overland Park, KS, CCN 178107
• Home Health by John Knox Village Home health agency, Lees Summit, MO, CCN 267056
• University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
• University of Kansas Health System Olathe Hospital Hospital, Olathe, KS, CCN 170049

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
• devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
• devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9

Interoperability endpoints

• Direct secure messaging: mpolsak6509@direct.kuha.org
• FHIR API: https://fhir-myrecord.cerner.com/r4/9997a5fc-aad4-42a6-b005-45276937bbd0/
• FHIR API: https://fhir.kansashealthsystem.com/interconnect-PRD_FHIR/api/FHIR/R4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kansas University Physicians Inc

  • Internal Medicine Physician
  • Kansas City, KS
  • NPI 1003858333
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Faith Home Healthcare Inc

  • Home Health Agency
  • Overland Park, KS
  • NPI 1790169118
  Care Compare affiliation
• Olathe Medical Center Inc

  • General Acute Care Hospital
  • Olathe, KS
  • NPI 1144266115
  Care Compare affiliation
• University of Kansas Hospital Authority

  • General Acute Care Hospital
  • Kansas City, KS
  • NPI 1629369681
  Care Compare affiliation
• University of Kansas Hospital Authority

  • General Acute Care Hospital
  • Kansas City, KS
  • NPI 1649259656
  Care Compare affiliation
• John Knox Village

  • Home Health Agency
  • Lees Summit, MO
  • NPI 1770587040
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1003078007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD, 4070 DELP, MS 4017",
            "address_2": "KANSAS UNIVERSITY PHYSICIANS INC",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "66160",
            "telephone_number": "913-588-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD, 6040 DELP, MS 1020",
            "address_2": "KANSAS UNIVERSITY PHYSICIANS INC",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "66160",
            "telephone_number": "913-588-3974",
            "fax_number": "913-588-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLSAK",
        "first_name": "MICHOLEE",
        "middle_name": "BETH",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "05350404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHOLEE",
            "last_name": "EMERSON",
            "middle_name": "BETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Albert Buddy Poje
• Bidushi Pokhrel, MBBS
• Nicholas Polczynski
• Jordaine Pollard
• Molly Pollpeter, DO
• Andres Pope
• Kristen Winona Pope, M.D.
• Victoria Poplin, MD
• Karin B Porter-Williamson, M.D.
• Alexandria Porter

• Internal Medicine Physician in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Internal Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.