NPIMap

Individual provider Active NPI

Nicholas Orion Gatz, M.D.

  • Family Medicine Physician
  • Merriam, KS
National Provider Identifier
1063647527
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-35877 Issued in KS
Practice address
8800 W 75TH St
Suite 300
Merriam, KS 66204-2205
Phone
(913) 722-4240
NPI assigned
May 27, 2009
Last updated
May 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-35877 KS Primary

Addresses

Primary practice location

8800 W 75TH St
Suite 300
Merriam, KS 66204-2205

Mailing address

5675 Roe Blvd
Ste 100
Roeland Park, KS 66205-2538
Phone (913) 432-2080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121121000124 KS Practitioner - Family Practice 4284885203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sunflower Medical Group PAGroup PAC ID 0042286106, 36 clinicians

Practice addresses (Care Compare)

10950 W 86TH St
Overland Park, KS 66214-1634
Phone (913) 722-4240

2040 Hutton Rd
Suite 102
Kansas City, KS 66109-4566
Phone (913) 299-3700

5675 Roe Blvd
Suite 100
Roeland Park, KS 66205-2515
Phone (913) 432-2080

5675 Roe Blvd
Suite 100
Roeland Park, KS 66205-2538

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-35877KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunflower Medical Group, PA Family Medicine Past Accepting new patients
Integrity Medicine LLC PastSince Oct 1, 2004 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nicholasgatz@smgks.allscriptsdirect.net

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.

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": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1063647527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5675 ROE BLVD",
            "address_2": "STE 100",
            "city": "ROELAND PARK",
            "state": "KS",
            "postal_code": "662052538",
            "telephone_number": "913-432-2080",
            "fax_number": "913-432-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 W 75TH ST",
            "address_2": "SUITE 300",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662042205",
            "telephone_number": "913-722-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATZ",
        "first_name": "NICHOLAS",
        "middle_name": "ORION",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-27",
        "last_updated": "2021-05-06",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-35877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merriam, KS

Sources for this page

Verify at the official NPI Registry.