Emily Suzanne Mathiesen, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

04-39438 Issued in KS

Practice address

21120 W 152ND St Ste 201
Olathe, KS 66061

Phone

(913) 491-4020

Fax

(913) 491-4725

NPI assigned

Apr 1, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Obstetrics/Gynecology

Education

University of Kansas School of Med (KC/Wich/Sal), 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
• University of Kansas Health System Olathe Hospital Hospital, Olathe, KS, CCN 170049

Merit-based Incentive Payment System (MIPS)

Final score

92.91 of 100Reported as apm

Quality

77.02

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/9997a5fc-aad4-42a6-b005-45276937bbd0/
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Kansas University Physicians Inc

  • Internal Medicine Physician
  • Kansas City, KS
  • NPI 1003858333
  Medicare reassignment Care Compare group NPD
• Mid America Physician Services

  • Obstetrics & Gynecology Physician
  • Shawnee Mission, KS
  • NPI 1952734741
  Medicare reassignment NPD
• Kansas University Physicians Inc

  • Obstetrics & Gynecology Physician
  • Kansas City, KS
  • NPI 1053457978
  NPD
• Kansas University Physicians Inc

  • Cardiovascular Disease Physician
  • Kansas City, KS
  • NPI 1407637291
  NPD
• Kansas University Physicians Inc

  • Internal Medicine Physician
  • Kansas City, KS
  • NPI 1699811521
  NPD (past)
• Olathe Medical Center Inc

  • General Acute Care Hospital
  • Olathe, KS
  • NPI 1144266115
  NPD (past)
• Womens Care

  • Obstetrics & Gynecology Physician
  • Shawnee Mission, KS
  • NPI 1669478517
  NPD (past)

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

• Olathe Medical Center Inc

  • General Acute Care Hospital
  • Olathe, KS
  • NPI 1144266115
  Care Compare affiliation
• University of Kansas Hospital Authority

  • General Acute Care Hospital
  • Kansas City, KS
  • NPI 1629369681
  Care Compare affiliation
• University of Kansas Hospital Authority

  • General Acute Care Hospital
  • Kansas City, KS
  • NPI 1649259656
  Care Compare affiliation

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1053636092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 W 74TH ST STE 320",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662042207",
            "telephone_number": "913-491-4020",
            "fax_number": "913-491-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21120 W 152ND ST STE 201",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "66061",
            "telephone_number": "913-491-4020",
            "fax_number": "913-491-4725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20375 W 151st St",
            "address_2": "Suite 409",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660615306",
            "country_code": "US",
            "telephone_number": "913-491-4020",
            "fax_number": "913-491-4725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHIESEN",
        "first_name": "EMILY",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "2014015770",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KS",
            "license": "04-39438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Archer, LLC
• Amy R Massey, TLMSW
• Sanjay Masson, MD
• Michelle Lynn Mathes, LPC
• Michael W Mathews, M.D.
• Jessica Lynn Mathis, LPC
• Stephanie Ann Matile
• Jodi Matz, RD, NBC-HWC
• Mary E. Matzeder, PH.D.
• Elizabeth Cloie Mauldin

• Specialist in Olathe, KS
• Providers in Olathe, KS by specialty
• Specialist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; 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.