Melina Keithly, DO
Individual provider Active NPI Emergency Medicine Physician · Olathe, KS
NPI 1114360435 · NPPES record last updated Jun 27, 2016
Key facts
- NPI
- 1114360435
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 0537842 (KS)
- Practice address
- 20333 W 151St St
Olathe, KS 66061-5350 - Phone
- (913) 791-4357
- Fax
- (913) 791-4435
- NPI assigned
- Apr 17, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergency Medicine Care LLC
Kansas University Physicians Inc
Practice addresses (Care Compare)
20333 W 151St St
Olathe, KS 66061-5350
Phone (913) 469-1411
Hospital & facility affiliations
- University of Kansas Health System Olathe Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150804004154 | KS | Practitioner - Emergency Medicine | 8820302854 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0537842 | KS | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Care LLC | Emergency Medicine | Current |
Accepting new patients |
| Kansas University Physicians Inc | Current |
Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Kansas University Physicians, Inc. | Emergency Medicine | Current |
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
- mkeithly191222@ahs.direct-ci.com
- mkeithly755654@direct.kuha.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0537842 | KS | Yes |
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
- Melina Letham
Other providers in Olathe, KS
- KC Spine, LLC
- Mary Katherine Keenan
- Keepers Legacy Home Care Services LLC
- Morgan Alexis Keesee
- Eric J Keiter
- Tyler Glen Kell
- Megan Leigh Keller
- Travis James Keller
- Alexandra Michelle Kelley
- Jessica Louise Kelley
All providers in Olathe, KS · Emergency Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.