Organization Active NPI

Mid-America Retina Consultants PA

  • Retina Specialist (Ophthalmology) Physician
  • Overland Park, KS
National Provider Identifier
1083794747
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
Legal business name
MID-AMERICA RETINA CONSULTANTS PA
Practice address
10740 Nall Avenue
Suite 220
Overland Park, KS 66211
Phone
(913) 663-5900
Fax
(913) 663-5902
NPI assigned
Oct 17, 2006
Last updated
Aug 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Dr. William N Rosenthal, MDNPI 1043218415
Title
President & Ceo
Phone
(913) 663-5900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X Primary

Addresses

Primary practice location

10740 Nall Avenue
Suite 220
Overland Park, KS 66211

Mailing address

PO Box 843330
Kansas City, MO 64184-3330
Phone (913) 663-5900

Other identifiers 3

IdentifierTypeStateIssuer
CH1627OtherMORAILROAD MEDICARE PIN
CH1625OtherKSRAILROAD MEDICARE PIN
CH1626OtherKSRAILROAD MEDICARE PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040727001114 MO Part B Supplier - Clinic/Group Practice 0446220537 Receives reassigned benefits from 1 practitioner
Practice locations: Kansas City, MO; North Kansas City, MO
O20040727001211 KS Part B Supplier - Clinic/Group Practice 0446220537 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Scott, KS; Overland Park, KS; Shawnee Mission, KS

National Provider Directory

National Provider Directory

Locations

10740 Nall Ave
Ste 220
Overland Park, KS 66211
Phone (816) 756-5900

12330 Metcalf Ave
Ste 250
Overland Park, KS 66213
Phone (913) 663-5901

2790 Clay Edwards Dr
#620
North Kansas City, MO 64116
Phone (816) 756-5900

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1083794747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843330",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641843330",
            "telephone_number": "913-663-5900",
            "fax_number": "913-663-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10740 NALL AVENUE",
            "address_2": "SUITE 220",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66211",
            "telephone_number": "913-663-5900",
            "fax_number": "913-663-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-AMERICA RETINA CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "ROSENTHAL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "913-663-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "CH1627",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "CH1625",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "CH1626",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.