Organization Active NPI

Urogynecology & Reconstructive Pelvic Surgery of Kansas City, LLC

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Overland Park, KS
National Provider Identifier
1134462542
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
Legal business name
UROGYNECOLOGY & RECONSTRUCTIVE PELVIC SURGERY OF KANSAS CITY, LLC
Practice address
10707 W 87TH St
Overland Park, KS 66214-1652
Phone
(913) 262-3000
Fax
(913) 262-3002
NPI assigned
Apr 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Authorized official

Name
Dr. Patrick Alan Nosti, M.D.NPI 1841481629
Title
Manager
Phone
(913) 262-3000

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
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VF0040X Primary

Addresses

Primary practice location

10707 W 87TH St
Overland Park, KS 66214-1652

Mailing address

10707 W 87TH St
Overland Park, KS 66214-1652
Phone (913) 262-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130522000078 KS Part B Supplier - Clinic/Group Practice 6002054673 Receives reassigned benefits from 5 practitioners
Practice locations: Overland Park, KS
O20150305000147 MO Part B Supplier - Clinic/Group Practice 6002054673 Receives reassigned benefits from 1 practitioner
Practice locations: Independence, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2064541Urogynecology & Reconstructive Pelvic Surgery10707 W 87TH Street, Overland Park, KS 66214Certificate of waiverAug 20, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1134462542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10707 W 87TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662141652",
            "telephone_number": "913-262-3000",
            "fax_number": "913-262-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10707 W 87TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662141652",
            "telephone_number": "913-262-3000",
            "fax_number": "913-262-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROGYNECOLOGY & RECONSTRUCTIVE PELVIC SURGERY OF KANSAS CITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2021-04-22",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "NOSTI",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "913-262-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.