NPIMap

Individual provider Active NPI

Andrea M Ely, M.D.

  • Internal Medicine Physician
  • Roeland Park, KS
National Provider Identifier
1184734816
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
04-30234 Issued in KS
Practice address
5675 Roe Blvd
Ste 100
Roeland Park, KS 66205-2538
Phone
(913) 432-2080
Fax
(913) 432-5183
NPI assigned
Aug 30, 2006
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 04-30234 KS Primary
Public Health & General Preventive Medicine Physician 2083P0901X 04-30234 KS
Hospitalist Physician 208M00000X 0430234 KS

Addresses

Primary practice location

5675 Roe Blvd
Ste 100
Roeland Park, KS 66205-2538

Mailing address

5675 Roe Blvd
Ste 100
Roeland Park, KS 66205-2538
Phone (913) 432-2080

Other practice location 1

8929 Parallel Pkwy
Kansas City, KS 66112-1689
Phone (913) 596-4687

Other identifiers 4

IdentifierTypeStateIssuer
520670OtherKSFIRSTGUARD
100641200AMedicaidKS
32859026OtherMOBCBS KANSAS CITY
209123108MedicaidMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061109000644 KS Practitioner - Internal Medicine 0840285300 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sunflower Medical Group PAGroup PAC ID 0042286106, 36 clinicians
Kansas Hospitalist Services PAGroup PAC ID 6103171160, 46 clinicians

Practice addresses (Care Compare)

10950 W 86TH St
Overland Park, KS 66214-1634
Phone (913) 722-4240

2040 Hutton Rd
Suite 102
Kansas City, KS 66109-4566
Phone (913) 299-3700

3550 S 4TH St
Suite 110
Leavenworth, KS 66048-5061
Phone (913) 680-6200

5675 Roe Blvd
Suite 100
Roeland Park, KS 66205-2515
Phone (913) 432-2080

5675 Roe Blvd
Suite 100
Roeland Park, KS 66205-2538

7820 W 165TH St
Overland Park, KS 66223-2925
Phone (913) 373-1100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-30234KSMDPublic Health & General Preventive Medicine Physician
0430234KSMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Physician Services - Providence Inc Internal Medicine CurrentSince Jun 15, 2023 Accepting new patients
Kansas Hospitalist Services PA Hospitalist CurrentSince Jan 1, 2019 Accepting new patients
Inpatient Consultants of Kansas PA Internal Medicine CurrentSince Jan 5, 2011 Accepting new patients
Sunflower Medical Group PA Internal Medicine CurrentSince Sep 1, 1994 Accepting new patients
Prime Healthcare Physician Services - Providence Inc CurrentSince Jun 15, 2023 Accepting new patients
Midwest Hospital Specialists, P.a. Internal Medicine Past Accepting new patients
Sunflower Medical Group, PA Internal Medicine Past Accepting new patients
Prime Healthcare Services-Providence, LLC Past Accepting new patients

Locations

2040 Hutton Rd
Ste 102
Kansas City, KS 66109
Phone (913) 299-3700

8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930

3550 S 4th St
Ste 110
Leavenworth, KS 66048
Phone (913) 651-3300

5555 W 58th St
Mission, KS 66202
Phone (913) 432-2080

10950 W 86th St
Overland Park, KS 66214
Phone (913) 432-2080

7820 W 165th St
Overland Park, KS 66223
Phone (913) 232-9846

5675 Roe Blvd
Ste 100
Roeland Park, KS 66205
Phone (913) 432-2080

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

8800 W 75th St
Ste 300
Shawnee Msn, KS 66204
Phone (913) 722-4240

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

Interoperability endpoints

  • Direct secure messaging: andreaely@smgks.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1184734816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5675 ROE BLVD",
            "address_2": "STE 100",
            "city": "ROELAND PARK",
            "state": "KS",
            "postal_code": "662052538",
            "telephone_number": "913-432-2080",
            "fax_number": "913-432-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5675 ROE BLVD",
            "address_2": "STE 100",
            "city": "ROELAND PARK",
            "state": "KS",
            "postal_code": "662052538",
            "telephone_number": "913-432-2080",
            "fax_number": "913-432-5183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8929 Parallel Pkwy",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661121689",
            "country_code": "US",
            "telephone_number": "913-596-4687",
            "fax_number": "913-596-4650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELY",
        "first_name": "ANDREA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-30234",
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "KS",
            "license": "04-30234",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KS",
            "license": "0430234",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTGUARD",
            "identifier": "520670",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100641200A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KANSAS CITY",
            "identifier": "32859026",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209123108",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roeland Park, KS

Sources for this page

Verify at the official NPI Registry.