Individual provider Active NPI

Aaron Smith, PA

  • Physician Assistant
  • Overland Park, KS
National Provider Identifier
1104200609
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
10701 Nall Ave
Suite 200
Overland Park, KS 66211-1363
Phone
(913) 381-5225
Fax
(913) 901-0186
NPI assigned
Jul 14, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

10701 Nall Ave
Suite 200
Overland Park, KS 66211-1363

Mailing address

12639 Old Tesson Rd
Suite 100
Saint Louis, MO 63128-2786
Phone (314) 849-0311

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: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150812008135 KS Practitioner - Physician Assistant 1557676038 Reassigns benefits to 1 organization
I20150828000426 MO Practitioner - Physician Assistant 1557676038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Signature Medical Group of KC PAGroup PAC ID 7618144056, 27 clinicians

Practice addresses (Care Compare)

10701 Nall Ave
Suite 200
Overland Park, KS 66211-1358
Phone (913) 381-5225

12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (816) 943-0706

2737 NE McBaine Dr
Suite a
Lees Summit, MO 64064-7880
Phone (913) 381-5225

5721 W 119TH St
Menorah Medical Center
Overland Park, KS 66209-3722
Phone (913) 498-6000

Hospital & facility affiliations

  • Menorah Medical Center Hospital, Overland Park, KS, CCN 170182
  • Saint Luke'S South Hospital Hospital, Overland Park, KS, CCN 170185
  • Anderson County Hospital Hospital, Garnett, KS, CCN 171316
  • Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104
  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Medical Group of KC, PA CurrentSince Jul 11, 2015 Accepting new patients

Locations

10701 Nall Ave
Ste 200
Overland Park, KS 66211
Phone (913) 381-5225

1800 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 523-0100

2737 NE McBaine Dr
Ste A
Lees Summit, MO 64064
Phone (913) 381-5225

12639 Old Tesson Rd
Ste 100
Saint Louis, MO 63128

Interoperability endpoints

  • Direct secure messaging: aaron.smith@kcbj.eclinicaldirectplus.com

Organizations & group practices 2

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 9

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": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436832000000",
    "number": "1104200609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12639 OLD TESSON RD",
            "address_2": "SUITE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282786",
            "telephone_number": "314-849-0311",
            "fax_number": "314-849-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 NALL AVE",
            "address_2": "SUITE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111363",
            "telephone_number": "913-381-5225",
            "fax_number": "913-901-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AARON",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.