Individual provider Active NPI

Mitchell Paul Matis

  • Student in an Organized Health Care Education/Training Program
  • Lenexa, KS
National Provider Identifier
1013667401
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
10500 Quivira Rd
Lenexa, KS 66215-2306
Phone
(913) 541-5000
NPI assigned
Mar 28, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

10500 Quivira Rd
Lenexa, KS 66215-2306

Mailing address

12200 W 106TH St Ste 325
Overland Park, KS 66215-2305
Phone (913) 498-7004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20260318002477 MO Practitioner - Internal Medicine 3072994524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Nebraska College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connectcare Hospitalists LLCGroup PAC ID 3173891256, 14 clinicians

Practice addresses (Care Compare)

2340 E Meyer Blvd
Suite 646
Kansas City, MO 64132-1110
Phone (816) 394-9044

Hospital & facility affiliations

  • Research Medical Center Hospital, Kansas City, MO, CCN 260027
  • Belton Regional Medical Center Hospital, Belton, MO, CCN 260214
  • Golden Valley Memorial Hospital Hospital, Clinton, MO, CCN 260175
  • Bates County Memorial Hospital Hospital, Butler, MO, CCN 260034
  • Lee'S Summit Medical Center Hospital, Lees Summit, MO, CCN 260190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Connectcare Hospitalists, LLC. CurrentSince Feb 8, 2026 Accepting new patients
Connectcare Medical Associates CurrentSince Feb 8, 2026 Accepting new patients
Midwest Division - RMC, LLC Past Accepting new patients
Midwest Division - RBH, LLC Past Accepting new patients

Locations

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

2340 E Meyer Blvd
Ste 646
Kansas City, MO 64132
Phone (816) 394-9044

Interoperability endpoints

  • Direct secure messaging: mitchell.matis@hca2.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1013667401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 W 106TH ST STE 325",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152305",
            "telephone_number": "913-498-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 QUIVIRA RD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662152306",
            "telephone_number": "913-541-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATIS",
        "first_name": "MITCHELL",
        "middle_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

Verify at the official NPI Registry.