Individual provider Active NPI

David McKenzie, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Lenexa, KS
National Provider Identifier
1083176291
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
04-49066 Issued in KS
Practice address
9705 Lenexa Dr
Lenexa, KS 66215-1345
Phone
(913) 396-8509
Fax
(913) 318-8378
NPI assigned
Apr 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 04-49066 KS Primary
Student in an Organized Health Care Education/Training Program 390200000X
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD-50956 IA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 2024010317 MO

Addresses

Primary practice location

9705 Lenexa Dr
Lenexa, KS 66215-1345

Mailing address

9705 Lenexa Dr
Lenexa, KS 66215-1345
Phone (913) 396-8509

Other identifiers 2

IdentifierTypeStateIssuer
200141016MedicaidMO
30005140110001MedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240613002343 KS Practitioner - Pathology 6507309911 Reassigns benefits to 2 organizations
I20240702001192 MO Practitioner - Pathology 6507309911 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Kansas School of Med (KC/Wich/Sal), 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mawd Pathologists LLCGroup PAC ID 5193102028, 28 clinicians
Mawd Pathology Group IncGroup PAC ID 2668421389, 38 clinicians

Practice addresses (Care Compare)

100 NE Saint Lukes Blvd
St Lukes East Lees Summit Lab
Lees Summit, MO 64086-6000
Phone (913) 396-8509

2800 Clay Edwards Dr
North Kansas City Hospital
Kansas City, MO 64116-3220
Phone (913) 396-8509

9100 W 74TH St
Adventhealth Shawnee Mission
Shawnee Mission, KS 66204-4004
Phone (913) 396-8509

9705 Lenexa Dr
Lenexa, KS 66215-1345
Phone (913) 396-8509

Hospital & facility affiliations

  • Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104
  • Liberty Hospital Hospital, Liberty, MO, CCN 260177
  • Adventhealth South Overland Park, Inc Hospital, Overland Park, KS, CCN 170208
  • St Joseph Medical Center Hospital, Kansas City, MO, CCN 260085
  • Adventhealth Ottawa Hospital, Ottawa, KS, CCN 170014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-50956IAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mawd Pathology Group Inc Anatomic Pathology & Clinical Pathology CurrentSince May 17, 2024 Accepting new patients
Creekwood Surgery Center, LP Current Accepting new patients
Mawd Pathology Partners PA Anatomic Pathology & Clinical Pathology Current Accepting new patients

Locations (25 of 29)

800 Ravenhill Dr
Atchison, KS 66002
Phone (913) 367-2131

300 Utah St
Hiawatha, KS 66434
Phone (785) 742-6286

8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930

3500 S 4th St
Leavenworth, KS 66048
Phone (913) 469-1411

9705 Lenexa Dr
Lenexa, KS 66215
Phone (913) 361-8528

14425 College Blvd
Ste 130
Lenexa, KS 66215
Phone (913) 948-5200

11070 Strang Line Rd
Lenexa, KS 66215

2600 Ottawa Rd
Neodesha, KS 66757
Phone (620) 325-2611

1301 S Main St
Ottawa, KS 66067
Phone (785) 229-3367

7820 W 165th St
Overland Park, KS 66223
Phone (913) 232-9846

12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

201 W Road Mize Rd
Blue Springs, MO 64014
Phone (816) 228-5900

615 W Nursery St
Butler, MO 64730
Phone (660) 200-2004

1600 N 2nd St
Clinton, MO 64735
Phone (660) 885-8171

1700 Rainbow Blvd
Exclsor Sprgs, MO 64024

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

211 NE 54th St
Ste 100
Kansas City, MO 64118
Phone (816) 455-4214

4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107

5830 NW Barry Rd
Kansas City, MO 64154
Phone (816) 880-6441

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

4150 N Mulberry Dr
Kansas City, MO 64116
Phone (816) 214-4364

100 NE Saint Lukes Blvd
Lees Summit, MO 64086
Phone (816) 347-5097

2525 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7200

800 S Ash St
Nevada, MO 64772
Phone (417) 667-3355

Organizations & group practices 4

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.

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": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1083176291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9705 LENEXA DR",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662151345",
            "telephone_number": "913-396-8509",
            "fax_number": "913-318-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9705 LENEXA DR",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662151345",
            "telephone_number": "913-396-8509",
            "fax_number": "913-318-8378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-05",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KS",
            "license": "04-49066",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IA",
            "license": "MD-50956",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MO",
            "license": "2024010317",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200141016",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30005140110001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

Verify at the official NPI Registry.