Individual provider Active NPI

Jeremy Bruce Kirchoff, M.D.

  • Family Medicine Physician
  • Lenexa, KS
National Provider Identifier
1033352737
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-33820 Issued in KS
Practice address
12210 W 87TH Street Pkwy
Lenexa, KS 66215-2812
Phone
(913) 438-6700
Fax
(913) 338-1311
NPI assigned
Apr 9, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2011001473 MO
Family Medicine Physician 207Q00000X 04-33820 KS Primary

Addresses

Primary practice location

12210 W 87TH Street Pkwy
Lenexa, KS 66215-2812

Mailing address

PO Box 741331
Atlanta, GA 30374-1331
Phone (913) 469-0503

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jeremy.kirchoff@cpfc.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170719001617 KS Practitioner - Family Practice 1557554565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Overland Park Surgical Specialties LLCGroup PAC ID 9234318502, 86 clinicians

Practice addresses (Care Compare)

10500 Quivira Rd
Overland Park, KS 66215-2306
Phone (913) 541-5000

10600 Mastin St
Overland Park, KS 66212-5723

11725 W 112TH St
Overland Park, KS 66210-2761
Phone (913) 469-5452

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-33820KSMDFamily Medicine Physician
2011001473MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Overland Park Surgical Specialties LLC Family Medicine CurrentSince Jun 12, 2017 Accepting new patients
College Park Family Care Center PA Family Medicine Past Accepting new patients

Locations

17050 W 96th St
Lenexa, KS 66219
Phone (913) 359-1771

1803 S Ridgeview Rd
Olathe, KS 66062
Phone (913) 735-4726

11164 S Noble Dr
Olathe, KS 66061
Phone (913) 469-6447

801 N Mur Len Rd
Ste 211
Olathe, KS 66062
Phone (913) 451-2253

10600 Mastin St
Ste A
Overland Park, KS 66212
Phone (913) 274-2600

11725 W 112th St
Overland Park, KS 66210
Phone (913) 469-5452

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

15101 Glenwood Ave
Stanley, KS 66223
Phone (913) 681-4934

Networks

  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d

Interoperability endpoints

  • Direct secure messaging: jeremy.kirchoff@hca2.eclinicaldirectplus.com

Organizations & group practices 2

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 5

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": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1033352737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741331",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741331",
            "telephone_number": "913-469-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12210 W 87TH STREET PKWY",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662152812",
            "telephone_number": "913-438-6700",
            "fax_number": "913-338-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRCHOFF",
        "first_name": "JEREMY",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-09",
        "last_updated": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2011001473",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-33820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeremy.kirchoff@cpfc.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "12210 W 87th Street Pkwy",
            "city": "Lenexa",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662152812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

Verify at the official NPI Registry.