Nicholas Joseph Michalski, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

KS19239 Issued in KS

Practice address

11644 W 75TH St
Suite 3
Shawnee, KS 66214-1372

Phone

(913) 962-4004

Fax

(913) 962-6817

NPI assigned

Dec 6, 2006

Last updated

Nov 29, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

University of Kansas School of Med (KC/Wich/Sal), 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ability KCGroup PAC ID 0143116368, 166 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Interim Healthcare of Kansas City Home health agency, Overland Park, KS, CCN 177087
• Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104
• Adventhealth South Overland Park, Inc Hospital, Overland Park, KS, CCN 170208

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mercy & Truth Healthcare Ministry, Inc

  dba Mercy & Truth Medical Missions

  • Federally Qualified Health Center (FQHC)
  • Kansas City, KS
  • NPI 1609879063

  Family Medicine

  Medicare reassignment NPD
• Ability KC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Kansas City, MO
  • NPI 1598746836
  Care Compare group
• Charles E. Bare II, M.D., P.a.

  • Urology Physician
  • Overland Park, KS
  • NPI 1790011906
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventhealth South Overland Park, Inc.

  dba AdventHealth South Overland Park

  • General Acute Care Hospital
  • Overland Park, KS
  • NPI 1316536253
  Care Compare affiliation
• Interim Healthcare of Kansas City, Inc

  • Home Health Agency
  • Overland Park, KS
  • NPI 1316934086
  Care Compare affiliation
• Shawnee Mission Medical Center Inc

  dba AdventHealth Shawnee Mission

  • General Acute Care Hospital
  • Merriam, KS
  • NPI 1023171634
  Care Compare affiliation
• Shawnee Mission Medical Center Inc

  • Clinical Medical Laboratory
  • Merriam, KS
  • NPI 1235792003

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1184783326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11644 W 75TH ST",
            "address_2": "SUITE 3",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662141372",
            "telephone_number": "913-962-4004",
            "fax_number": "913-962-6817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11644 W 75TH ST",
            "address_2": "SUITE 3",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662141372",
            "telephone_number": "913-962-4004",
            "fax_number": "913-962-6817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHALSKI",
        "first_name": "NICHOLAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "KS19239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Meyer, DDS
• Kyle Meyer, PHARM.D.
• Pamela Meyer
• Michael J Dostal DDS, LLC
• Michaels Mission, LLC
• Mid-America Physicians, CHTD. (DeSoto Family Practice)
• Midwest Divison - Oprmc, LLC (Emergency Room of Shawnee, a department of Overland Park Regional Medical Center)
• Midwest Radiology Institute, PA
• Midwives of Kansas City Women's Center
• Midwives of Kansas City, LLC (Midwives of Kansas City Women's Center)

• Family Medicine Physician in Shawnee, KS
• Providers in Shawnee, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.