Active NPI
Michael J Reilly, MD
- Emergency Medicine Physician
- Olathe, KS
National Provider Identifier
1053310904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0423611
- Practice address
- 20333 W 151St St
Olathe, KS 66061-5350 - Phone
- (913) 791-4357
- Fax
- (913) 791-4435
- NPI assigned
- Jul 21, 2005
- Last updated
- Aug 8, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0423611 | KS | Primary |
Addresses
Primary practice location
20333 W 151St St
Olathe, KS 66061-5350
Mailing address
PO Box 716
Overland Park, KS 66201-0716
Phone (913) 791-4357
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17552018 | Other | BLUE CROSS BLUE SHIELD | |
| 100276860A | Medicaid | KS | |
| 203029111 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hyperbaric Oxygen of Kansas City Inc. | Past | Accepting new patients | |
| Medevac Midamerica Inc | Past | Accepting new patients | |
| Miami County Medical Center Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Paola, KS
- NPI 1407603277
-
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Kansas City, MO
- NPI 1053401539
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": "1312761600000",
"number": "1053310904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 716",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662010716",
"telephone_number": "913-791-4357",
"fax_number": "913-791-4435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20333 W 151ST ST",
"city": "OLATHE",
"state": "KS",
"postal_code": "660615350",
"telephone_number": "913-791-4357",
"fax_number": "913-791-4435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REILLY",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-21",
"last_updated": "2011-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KS",
"license": "0423611",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "17552018",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100276860A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203029111",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.