Individual provider Active NPI

Miriam Jerono Kipngeno, NP

  • Geriatric Medicine (Internal Medicine) Physician
  • Overland Park, KS
National Provider Identifier
1073339180
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
53-84137-081 Issued in KS
Practice address
10550 Marty St Ste 201
Overland Park, KS 66212-2557
Phone
(913) 341-4000
Fax
(913) 383-2868
NPI assigned
Nov 23, 2024
Last updated
Nov 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 53-84137-081 KS Primary

Addresses

Primary practice location

10550 Marty St Ste 201
Overland Park, KS 66212-2557

Mailing address

10550 Marty St Ste 201
Overland Park, KS 66212-2557
Phone (913) 341-4000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250616002927 KS Practitioner - Nurse Practitioner 9931610037 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-84137-081KSMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Louay K. Sabih, LLC CurrentSince May 28, 2025 Accepting new patients
Curana Health of Missouri-Kansas LLC PastSince Oct 20, 2026 Accepting new patients
Medical Specialists PA Geriatric Medicine PastSince Nov 9, 2025 Accepting new patients

Locations

9100 Park St
Lenexa, KS 66215
Phone (913) 888-1900

9100 Park St
Ste 280
Lenexa, KS 66215

10550 Marty St
Ste 201
Overland Park, KS 66212
Phone (913) 634-2507

12100 W 109th St
Shawnee Mission, KS 66210
Phone (913) 469-4210

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.

NPI Registry JSON

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

{
    "created_epoch": "1732320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1073339180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10550 MARTY ST STE 201",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662122557",
            "telephone_number": "913-341-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10550 MARTY ST STE 201",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662122557",
            "telephone_number": "913-341-4000",
            "fax_number": "913-383-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIPNGENO",
        "first_name": "MIRIAM",
        "middle_name": "JERONO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-23",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "KS",
            "license": "53-84137-081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.