Individual provider Active NPI

Kelly D Kreisler, MD

  • Pediatrics Physician
  • Kansas City, KS
National Provider Identifier
1144287996
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0429991 Issued in KS
Practice address
3901 Rainbow Blvd
Mail Stop 4004
Kansas City, KS 66103-2937
Phone
(913) 588-5000
NPI assigned
Apr 26, 2006
Last updated
Jan 16, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0429991 KS Primary

Addresses

Primary practice location

3901 Rainbow Blvd
Mail Stop 4004
Kansas City, KS 66103-2937

Mailing address

407 S Clairborne Rd
Suite 104
Olathe, KS 66062-1857
Phone (913) 648-2266

Other identifiers 1

IdentifierTypeStateIssuer
100450850BMedicaidKS

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
I20100830000787 KS Practitioner - Pediatric Medicine 8527010214 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0429991KSMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Partnership Clinic, Inc. Current Accepting new patients
Health Partnership Clinic, Inc. CurrentSince May 1, 2023 Accepting new patients
Health Partnership Clinic, Inc CurrentSince May 1, 2023 Accepting new patients
Turner House Clinic Inc PastSince Jan 1, 2018 Accepting new patients
Health Partnership Clinic, Inc. PastSince May 16, 2021 Accepting new patients

Locations

405 S Clairborne Rd
Ste 2
Olathe, KS 66062
Phone (913) 390-7816

407 S Clairborne Rd
Ste 104
Olathe, KS 66062

407 S Clairborne Rd
Ste 201
Olathe, KS 66062
Phone (913) 210-0835

107 S Main St
Ottawa, KS 66067
Phone (913) 401-2750

8800 W 85th St
Overland Park, KS 66212

1604 Industrial Park Dr
Paola, KS 66071
Phone (913) 294-9223

9119 W 74th St
Ste 210
Shawnee Mission, KS 66204
Phone (913) 432-3334

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHEICA
  • Direct secure messaging: kkreisler4937@direct.kuha.org
  • Direct secure messaging: kkreisler718474@direct.kuha.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389830400000",
    "number": "1144287996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 S CLAIRBORNE RD",
            "address_2": "SUITE 104",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621857",
            "telephone_number": "913-648-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD",
            "address_2": "MAIL STOP 4004",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661032937",
            "telephone_number": "913-588-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREISLER",
        "first_name": "KELLY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2014-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "0429991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100450850B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.