Individual provider Active NPI

Elizabeth Anne Porter, M.D.

  • Pediatrics Physician
  • Prairie Village, KS
National Provider Identifier
1063547370
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
04-33411 Issued in KS
Practice address
7301 Mission Rd Ste 350
Prairie Village, KS 66208-3075
Phone
(913) 588-6300
Fax
(913) 274-3515
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 04-33411 KS Primary

Addresses

Primary practice location

7301 Mission Rd Ste 350
Prairie Village, KS 66208-3075

Mailing address

2106 Olathe Blvd Ms 4004
Kansas City, KS 66160-0001
Phone (913) 588-6300

Other practice location 1

4000 Cambridge St
Kansas City, KS 66160-0001
Phone (913) 588-6300

Other names 1

  • Elizabeth Anne Pitts Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20081024000394 KS Practitioner - Pediatric Medicine 5395803001 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-33411KSMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Pediatrics Current Accepting new patients
Kansas University Physicians Inc CurrentSince Jul 5, 2011 Accepting new patients
Kansas University Physicians Inc Pediatrics CurrentSince Jul 5, 2011 Accepting new patients
Kansas University Physicians Inc Past Accepting new patients
University of Kansas Hospital Authority Past Accepting new patients

Locations

3901 Rainbow Blvd
#4004
Kansas City, KS 66160
Phone (913) 588-6301

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-0000

3901 Rainbow Blvd
#2013
Kansas City, KS 66160
Phone (913) 588-6917

Interoperability endpoints

  • Direct secure messaging: epitts3095@direct.kuha.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1063547370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 OLATHE BLVD MS 4004",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661600001",
            "telephone_number": "913-588-6300",
            "fax_number": "913-274-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 MISSION RD STE 350",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083075",
            "telephone_number": "913-588-6300",
            "fax_number": "913-274-3515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Cambridge St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661600001",
            "country_code": "US",
            "telephone_number": "913-588-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "04-33411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "PITTS",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Prairie Village, KS

Sources for this page

Verify at the official NPI Registry.