Organization Active NPI

Kansas City Institute of Podiatry, P.a.

  • Podiatric Clinic/Center
  • Overland Park, KS
National Provider Identifier
1184135584
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
KANSAS CITY INSTITUTE OF PODIATRY, P.A.
Practice address
10550 Quivira Rd Ste 360
Overland Park, KS 66215-2379
Phone
(913) 894-4040
NPI assigned
Oct 12, 2017
Last updated
Apr 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Authorized official

Name
Mrs. Kelly Trautman
Title
Practice Manager
Phone
(913) 894-4040

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X
Podiatric Clinic/Center 261QP1100X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

10550 Quivira Rd Ste 360
Overland Park, KS 66215-2379

Mailing address

10550 Quivira Rd Ste 360
Overland Park, KS 66215-2379
Phone (913) 894-4040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20171226001089 KS Part B Supplier - Clinic/Group Practice 1759649650 Receives reassigned benefits from 4 practitioners
Practice locations: Overland Park, KS
O20180327002058 KS DME Supplier - Physician - Podiatry 1759649650 Practice locations: Overland Park, KS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1184135584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10550 QUIVIRA RD STE 360",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152379",
            "telephone_number": "913-894-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10550 QUIVIRA RD STE 360",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152379",
            "telephone_number": "913-894-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS CITY INSTITUTE OF PODIATRY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "TRAUTMAN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "913-894-4040",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.