Individual provider Active NPI

Matthew Lindquist, D.O.

  • Pediatrics Physician
  • Prairie Village, KS
National Provider Identifier
1114360765
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
05-48226 Issued in KS
Practice address
4121 W 83Rd St Ste 135
Prairie Village, KS 66208-5323
Phone
(913) 303-1165
Fax
(800) 816-5184
NPI assigned
Apr 14, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 05-48226 KS
Obesity Medicine (Internal Medicine) Physician 207RB0002X 05-48226 KS
Pediatric Obesity Medicine Physician 2080B0002X 05-48226 KS
Pediatrics Physician 208000000X 05-48226 KS Primary

Addresses

Primary practice location

4121 W 83Rd St Ste 135
Prairie Village, KS 66208-5323

Mailing address

4121 W 83Rd St Ste 135
Prairie Village, KS 66208-5323
Phone (913) 303-1165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.53 of 100Reported as group
Quality
59.66
Promoting interoperability
100
Improvement activities
40
Cost
74.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05-48226KSMDObesity Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mokan Weight Loss and Metabolic Health LLC Obesity Medicine CurrentSince May 26, 2024 Accepting new patients

Locations

4121 W 83rd St
Ste 135
Prairie Village, KS 66208
Phone (913) 303-1165

Interoperability endpoints

  • Direct secure messaging: mokanweightlossandmetabolichealth.matthewlindquist@157555.advancedmd-direct.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1365897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1114360765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 W 83RD ST STE 135",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662085323",
            "telephone_number": "913-303-1165",
            "fax_number": "800-816-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 W 83RD ST STE 135",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662085323",
            "telephone_number": "913-303-1165",
            "fax_number": "800-816-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDQUIST",
        "first_name": "MATTHEW",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-14",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "05-48226",
            "primary": false
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "KS",
            "license": "05-48226",
            "primary": false
        },
        {
            "code": "2080B0002X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Obesity Medicine",
            "state": "KS",
            "license": "05-48226",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "05-48226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Village, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.