Organization Active NPI

Mid-America Rheumatology Consultants

  • Specialist
  • Overland Park, KS
National Provider Identifier
1043204852
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MID-AMERICA RHEUMATOLOGY CONSULTANTS
Practice address
5701 W 119TH St
Suite 209
Overland Park, KS 66209-3722
Phone
(913) 661-9980
Fax
(913) 661-9173
NPI assigned
Sep 7, 2005
Last updated
Oct 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Authorized official

Name
Angela Therese Chladek
Title
Practice Manager
Phone
(913) 661-9980

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary
Non-Pharmacy Dispensing Site 332900000X NU

Addresses

Primary practice location

5701 W 119TH St
Suite 209
Overland Park, KS 66209-3722

Mailing address

5701 W 119TH St
Suite 209
Overland Park, KS 66209-3722
Phone (913) 661-9980

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040114000675 KS Part B Supplier - Clinic/Group Practice 1951202852 Receives reassigned benefits from 7 practitioners
Practice locations: Overland Park, KS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1043204852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 W 119TH ST",
            "address_2": "SUITE 209",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662093722",
            "telephone_number": "913-661-9980",
            "fax_number": "913-661-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 W 119TH ST",
            "address_2": "SUITE 209",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662093722",
            "telephone_number": "913-661-9980",
            "fax_number": "913-661-9173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-AMERICA RHEUMATOLOGY CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "CHLADEK",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "THERESE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "913-661-9980"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.