NPIMap

Individual provider Active NPI

Jeena Viji Eapen, M.D.

  • Internal Medicine Physician
  • Overland Park, KS
National Provider Identifier
1023018926
Registry record updated Oct 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
04-39497 Issued in KS
Practice address
10540 Marty St Ste 100
Overland Park, KS 66212-2560
Phone
(913) 660-1616
Fax
(913) 660-0998
NPI assigned
Jul 21, 2005
Last updated
Oct 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 231044 NY
Internal Medicine Physician 207R00000X 2017010742 MO
Internal Medicine Physician 207R00000X 04-39497 KS Primary

Addresses

Primary practice location

10540 Marty St Ste 100
Overland Park, KS 66212-2560

Mailing address

12101 Woodcrest Executive Dr Ste 210
Saint Louis, MO 63141-5047
Phone (314) 317-0600

Other practice location 1

3 Barker Ave
Fl 4
White Plains, NY 10601-1509
Phone (914) 949-1199

Other identifiers 1

IdentifierTypeStateIssuer
1023018926MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170906000708 MO Practitioner - Internal Medicine 2062483092 Reassigns benefits to 4 organizations
I20170912000336 KS Practitioner - Internal Medicine 2062483092 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
May accept Medicare assignment
Group practices
Kansas Post Acute Medical Services 1 PAGroup PAC ID 1557634193, 58 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
NV Pacs 2 LLCGroup PAC ID 0941550578, 119 clinicians

Practice addresses (Care Compare)

14430 Metcalf Ave
Overland Park, KS 66223-2989
Phone (913) 897-1414

2600 Compass Rd
Glenview, IL 60026-8001

2727 N Rock Rd
Larksfield Place
Wichita, KS 67226-1142
Phone (316) 636-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.72 of 100Reported as apm
Quality
72.97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-39497KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Post Acute Medical Services 1 PA CurrentSince Sep 18, 2018 Accepting new patients
Inpatient Consultants of Kansas PA Internal Medicine CurrentSince Aug 1, 2017 Accepting new patients
Ipc Pac Healthcare Services of Missouri Inc CurrentSince Jul 1, 2020 Accepting new patients
NV Pacs 2 LLC CurrentSince Jul 1, 2021 Accepting new patients
Inpatient Consultants of Kansas PA Internal Medicine CurrentSince Aug 7, 2017 Accepting new patients
Inpatient Consultants of Kansas PA Internal Medicine Current Accepting new patients
CS Pacs 3 Midwest LLC Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Two Trails Healthcare, Inc. Past Accepting new patients
Presbyterian Manors, Inc. Past Accepting new patients
Aria Podiatry Care PLLC Past Accepting new patients
BKD HCR Master Lease 3 Tenant LLC Past Accepting new patients

Locations

21250 W 151st St
Olathe, KS 66061
Phone (201) 654-3130

10540 Marty St
Ste 100
Overland Park, KS 66212

14430 Metcalf Ave
Overland Park, KS 66223
Phone (913) 427-0084

601 E Main St
Pretty Prairie, KS 67570
Phone (620) 459-6822

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

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

800 Chambers Rd
Ferguson, MO 63135
Phone (314) 522-8100

3660 Summit St
Kansas City, MO 64111
Phone (816) 531-1089

1221 S Business Highway 13
Lexington, MO 64067
Phone (660) 259-4695

2525 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7200

1600 E Rollins St
Moberly, MO 65270
Phone (660) 263-6887

1210 W Ashland St
Nevada, MO 64772
Phone (417) 667-5064

12101 Woodcrest Executive Dr
Ste 210
Saint Louis, MO 63141

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Aberdeen VillageOlathe, KS, CCN 175448 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 31, 2024
Dec 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508457600000",
    "number": "1023018926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12101 WOODCREST EXECUTIVE DR STE 210",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631415047",
            "telephone_number": "314-317-0600",
            "fax_number": "314-317-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10540 MARTY ST STE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662122560",
            "telephone_number": "913-660-1616",
            "fax_number": "913-660-0998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Barker Ave",
            "address_2": "Fl 4",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106011509",
            "country_code": "US",
            "telephone_number": "914-949-1199",
            "fax_number": "914-949-1245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EAPEN",
        "first_name": "JEENA",
        "middle_name": "VIJI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2017-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "231044",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2017010742",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-39497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023018926",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.