Active NPI
Michael R Driks, M.D.
- Infectious Disease Physician
- Overland Park, KS
National Provider Identifier
1174587422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 04-25907
- Practice address
- 4601 W 109TH St Ste 100
Overland Park, KS 66211-1313 - Phone
- (913) 942-0540
- Fax
- (630) 528-9589
- NPI assigned
- Apr 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | R9G03 | MO | |
| Infectious Disease Physician | 207RI0200X | 04-25907 | KS | Primary |
Addresses
Primary practice location
4601 W 109TH St Ste 100
Overland Park, KS 66211-1313
Mailing address
4601 W 109TH St Ste 100
Overland Park, KS 66211-1313
Phone (913) 942-0540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-25907 | KS | MD | Infectious Disease Physician |
| R9G03 | MO | MD | Infectious Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549497600000",
"number": "1174587422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 W 109TH ST STE 100",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111313",
"telephone_number": "913-942-0540",
"fax_number": "630-528-9589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 W 109TH ST STE 100",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111313",
"telephone_number": "913-942-0540",
"fax_number": "630-528-9589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRIKS",
"first_name": "MICHAEL",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2019-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "MO",
"license": "R9G03",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "KS",
"license": "04-25907",
"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 Feb 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.