Individual provider Active NPI

Melina Keithly, DO

  • Emergency Medicine Physician
  • Olathe, KS
National Provider Identifier
1114360435
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0537842 Issued in KS
Practice address
20333 W 151St St
Olathe, KS 66061-5350
Phone
(913) 791-4357
Fax
(913) 791-4435
NPI assigned
Apr 17, 2013
Last updated
Jun 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0537842 KS Primary

Addresses

Primary practice location

20333 W 151St St
Olathe, KS 66061-5350

Mailing address

PO Box 716
Overland Park, KS 66201-0716
Phone (913) 642-4900

Other names 1

  • Melina Letham Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150804004154 KS Practitioner - Emergency Medicine 8820302854 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Care LLCGroup PAC ID 0941272231, 8 clinicians
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians

Practice addresses (Care Compare)

20333 W 151St St
Olathe, KS 66061-5350
Phone (913) 469-1411

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Current Accepting new patients
Emergency Medicine Care LLC Emergency Medicine CurrentSince Jul 1, 2016 Accepting new patients
Kansas University Physicians Inc CurrentSince Oct 1, 2025 Accepting new patients
Kansas University Physicians, Inc. Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients

Locations

20333 W 151st St
Olathe, KS 66061
Phone (888) 960-1393

1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310

Interoperability endpoints

  • Direct secure messaging: mkeithly191222@ahs.direct-ci.com
  • Direct secure messaging: mkeithly755654@direct.kuha.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1114360435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 716",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662010716",
            "telephone_number": "913-642-4900",
            "fax_number": "913-381-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20333 W 151ST ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660615350",
            "telephone_number": "913-791-4357",
            "fax_number": "913-791-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITHLY",
        "first_name": "MELINA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-17",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "0537842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELINA",
            "last_name": "LETHAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.