NPIMap

Individual provider Active NPI

Nathaniel Kyle Ballek, M.D.

  • Urology Physician
  • Overland Park, KS
National Provider Identifier
1043419872
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
04-36531 Issued in KS
Practice address
10550 Quivira Rd Ste 530
Overland Park, KS 66215-2307
Phone
(913) 276-5130
Fax
(913) 439-4836
NPI assigned
Jul 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD192199 OR
Urology Physician 208800000X 04-36531 KS Primary

Addresses

Primary practice location

10550 Quivira Rd Ste 530
Overland Park, KS 66215-2307

Mailing address

8551 Bluejacket St
Lenexa, KS 66214-1656
Phone (913) 981-1215

Other identifiers 1

IdentifierTypeStateIssuer
49160026OtherKSBCBS

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
I20130826000484 MO Practitioner - Urology 0244473189 Reassigns benefits to 2 organizations
I20130930000544 KS Practitioner - Urology 0244473189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Missouri, Columbia School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas City Urology Care PAGroup PAC ID 9032006853, 71 clinicians

Practice addresses (Care Compare)

10550 Quivira Rd
Suite 530
Overland Park, KS 66215-2307
Phone (913) 780-3388

4321 Washington St
Suite 5300
Kansas City, MO 64111-5931
Phone (816) 531-1234

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-36531KSMDUrology Physician
MD192199ORMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excelsior Springs City Hospital Current Accepting new patients
Excelsior Springs City Hospital CurrentSince May 1, 2023 Accepting new patients
Kansas City Urology Care, P.a. Urology PastSince Apr 6, 2021 Accepting new patients
Saint Luke's Physician Group Inc PastSince Jul 1, 2013 Accepting new patients

Locations

1700 Rainbow Blvd
Exclsor Sprgs, MO 64024

Networks

  • IA HMO
  • IA HMO C-SNP

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1043419872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8551 BLUEJACKET ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662141656",
            "telephone_number": "913-981-1215",
            "fax_number": "913-439-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10550 QUIVIRA RD STE 530",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152307",
            "telephone_number": "913-276-5130",
            "fax_number": "913-439-4836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLEK",
        "first_name": "NATHANIEL",
        "middle_name": "KYLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OR",
            "license": "MD192199",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "KS",
            "license": "04-36531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "49160026",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.