Andrew Zachary Dale, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2017035244 Issued in MO

Practice address

10701 Nall Ave Ste 200
Overland Park, KS 66211-1358

Phone

(913) 381-5225

NPI assigned

Sep 19, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Signature Medical Group of KC PAGroup PAC ID 7618144056, 27 clinicians

Total Wound Care of MissouriGroup PAC ID 4183122807, 5 clinicians

Total Wound Care of Kansas LLCGroup PAC ID 2860846664, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kansas City Orthopaedic Institute Hospital, Leawood, KS, CCN 170188
• Saint Luke'S South Hospital Hospital, Overland Park, KS, CCN 170185

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrew.dale@kcbj.eclinicaldirectplus.com

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.

• Signature Medical Group of KC, P.a.

  • Orthopaedic Surgery Physician
  • Overland Park, KS
  • NPI 1992087266

  KS, MO

  Medicare reassignment Care Compare group
• Total Wound Care of Kansas LLC

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1770265662

  KS

  Medicare reassignment Care Compare group
• Total Wound Care of Missouri

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1427840834

  MO

  Medicare reassignment Care Compare group
• University of Kansas Hospital Authority

  • Multi-Specialty Clinic/Center
  • Kansas City, KS
  • NPI 1528019502

  KS

  Medicare reassignment NPD
• Carbon Health Medical Group of Kansas PA

  • Urgent Care Clinic/Center
  • Kansas City, MO
  • NPI 1497357396

  KS, MO

  Medicare reassignment
• Signature Medical Group of KC, P.a.

  • Durable Medical Equipment & Medical Supplies
  • Saint Louis, MO
  • NPI 1467729988
  Care Compare group
• Signature Medical Group of KC, PA

  • Durable Medical Equipment & Medical Supplies
  • Lees Summit, MO
  • NPI 1194116061
  Care Compare group
• Signature Medical Group of KC, PA

  • Durable Medical Equipment & Medical Supplies
  • Olathe, KS
  • NPI 1750858221
  NPD
• University of Kansas Hospital Authority

  • Dentist
  • Westwood, KS
  • NPI 1295845758
  NPD
• Deer Valley Emergency Physicians LLC

  • Emergency Medicine Physician
  • Liberty, MO
  • NPI 1235673872

  Physician Assistant

  NPD (past)
• LPP of Missouri LLC

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Blue Springs, MO
  • NPI 1356879563
  NPD (past)
• Mo-I Medical Services LLC

  • Emergency Medicine Physician
  • Clinton, MO
  • NPI 1063834372

  Physician Assistant

  NPD (past)

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

• Kansas City Orthopaedic Institute LLC

  • General Acute Care Hospital
  • Leawood, KS
  • NPI 1457364408

  Hospital

  Care Compare affiliation
• Saint Lukes South Hospital, Inc.

  • General Acute Care Hospital
  • Overland Park, KS
  • NPI 1154303337

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1043739360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 NALL AVE STE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111358",
            "telephone_number": "913-381-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 NALL AVE STE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111358",
            "telephone_number": "913-381-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALE",
        "first_name": "ANDREW",
        "middle_name": "ZACHARY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-19",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2017035244",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-02041",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1137110",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Skylar Dailey
• Elizabeth Brett Daily, M.D.
• Alisha Dalal, MD
• Twinkal Pranavkumar Dalal, M.D.
• Shawna Dalaq, RN
• Leah Dalien
• Harry Steven Dalke, R.PH.
• Dallis Rogers Chiropractic LLC
• Andrea Kayleen Dalrymple, APRN
• Amber Dalzell, LCPC, ATR-BC, ATCS

• All providers in Overland Park, KS
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.