Individual provider Active NPI

William E Poulson, MD

  • Vascular Surgery Physician
  • Kansas City, KS
National Provider Identifier
1164765996
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
04-45754 Issued in KS
Practice address
University of Kansas Health System, 4000 Cambridge
Kansas City, KS 61660
Phone
(913) 588-6113
NPI assigned
Mar 29, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 7022 NE
Surgery Physician 208600000X 04-45754 KS
Vascular Surgery Physician 2086S0129X 04-45754 KS Primary

Addresses

Primary practice location

University of Kansas Health System, 4000 Cambridge
Kansas City, KS 61660

Mailing address

10700 Nall Ave Ste 300
Overland Park, KS 66211-1299
Phone (913) 522-0478

Other practice location 1

330 Arkansas St Ste 202
Lawrence, KS 66044-1394
Phone (785) 505-2200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address william.poulson@direct.lmh.org Direct

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
I20220826002407 KS Practitioner - Vascular Surgery 0244453090 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence Physicians LLCGroup PAC ID 1951623834, 223 clinicians
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians

Practice addresses (Care Compare)

330 Arkansas St
Suite 202
Lawrence, KS 66044-1394
Phone (785) 505-2200

4000 Cambridge St
Kansas City, KS 66160-0001
Phone (913) 588-1227

Hospital & facility affiliations

  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
  • LMH Hospital, Lawrence, KS, CCN 170137
  • University of Kansas Health System Olathe Hospital Hospital, Olathe, KS, CCN 170049
  • Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104
  • Miami County Medical Center Hospital, Paola, KS, CCN 170109

Merit-based Incentive Payment System (MIPS)

Final score
87.1 of 100Reported as group
Quality
79.76
Promoting interoperability
99
Improvement activities
40
Cost
78.08

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Leg revascularization (restoring blood flow)22
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7022NEMDDentist
04-45754KSMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc CurrentSince Aug 1, 2022 Accepting new patients
Lawrence Physicians LLC Surgery CurrentSince Oct 3, 2022 Accepting new patients
Kansas University Physicians Inc Surgery CurrentSince Aug 1, 2022 Accepting new patients
Kansas University Physicians Inc Surgery Current Accepting new patients
Lawrence Physicians LLC Current Accepting new patients
Lawrence Physicians LLC Surgery CurrentSince Oct 3, 2022 Accepting new patients
Kansas University Physicians Inc Past Accepting new patients
The Internal Medicine Group PA Past Accepting new patients

Locations

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-0000

2000 Olathe
Kansas City, KS 66160
Phone (913) 588-1908

1130 W 4th St
Ste 2050
Lawrence, KS 66044
Phone (785) 505-3636

330 Arkansas St
Ste 202
Lawrence, KS 66044
Phone (785) 505-2200

325 Maine St
Lawrence, KS 66044
Phone (785) 505-2988

10700 Nall Ave
Ste 300
Overland Park, KS 66211
Phone (913) 574-0560

7420 Switzer Rd
Shawnee Mission, KS 66203
Phone (913) 262-9201

Interoperability endpoints

  • Direct secure messaging: wpoulson70773@direct.kuha.org
  • Direct secure messaging: william.poulson@direct.lmh.org

Organizations & group practices 8

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.

Hospital & facility affiliations 7

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": "1364515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1164765996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 NALL AVE STE 300",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111299",
            "telephone_number": "913-522-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF KANSAS HEALTH SYSTEM, 4000 CAMBRIDGE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "61660",
            "telephone_number": "913-588-6113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Arkansas St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660441394",
            "country_code": "US",
            "telephone_number": "785-505-2200",
            "fax_number": "785-505-5237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POULSON",
        "first_name": "WILLIAM",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-29",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NE",
            "license": "7022",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "04-45754",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "KS",
            "license": "04-45754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "william.poulson@direct.lmh.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "330 Arkansas St Ste 202",
            "city": "Lawrence",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660441394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.