NPIMap

Individual provider Active NPI

Kevin E. Suttmoeller, D.O.

  • Internal Medicine Physician
  • Overland Park, KS
National Provider Identifier
1144201914
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
05-41936 Issued in KS
Practice address
6240 W 135TH St Ste 150
Overland Park, KS 66223-4857
Phone
(913) 632-9500
Fax
(913) 632-9529
NPI assigned
Nov 9, 2005
Last updated
Jan 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 05-41936 KS Primary
Internal Medicine Physician 207R00000X 101192 MO

Addresses

Primary practice location

6240 W 135TH St Ste 150
Overland Park, KS 66223-4857

Mailing address

6240 W 135TH St Ste 150
Overland Park, KS 66223-4857
Phone (913) 632-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051123000216 MO Practitioner - Internal MedicinePractitioner - Other (Physician) 2860390689 Reassigns benefits to 1 organization
I20190506000664 KS Practitioner - Internal MedicinePractitioner - Other (Physician) 2860390689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9100 W 74TH St
Ahmg Cardiology at Shawnee Mission
Merriam, KS 66204-4004
Phone (913) 676-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Kansas City - Physician Services LLC Internal Medicine CurrentSince Jun 1, 2021 Accepting new patients
Shawnee Mission Medical Center Inc Internal Medicine CurrentSince Feb 10, 2025 Accepting new patients
Academic Medicine Past Accepting new patients
Carondelet Physician Services, Inc. PastSince Jun 1, 2021 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

6240 W 135th St
Ste 150
Overland Park, KS 66223
Phone (913) 632-3500

9301 W 74th St
Ste 100
Shawnee Mission, KS 66204
Phone (913) 632-9100

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

1004 Carondelet Dr
Ste 300
Kansas City, MO 64114
Phone (816) 942-4500

Interoperability endpoints

  • Direct secure messaging: kevin.suttmoeller@hca2.eclinicaldirectplus.com
  • Direct secure messaging: ksuttmoeller4282577@adventhealth.direct-ci.com

Organizations & group practices 5

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 5

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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1144201914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 W 135TH ST STE 150",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662234857",
            "telephone_number": "913-632-9500",
            "fax_number": "913-632-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 W 135TH ST STE 150",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662234857",
            "telephone_number": "913-632-9500",
            "fax_number": "913-632-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTMOELLER",
        "first_name": "KEVIN",
        "middle_name": "E.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "05-41936",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "101192",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.