Active NPI
Barry L Kentopp, PA
- Physician Assistant
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 15-00878
- Practice address
- 10701 Nall Ave Ste 200
Overland Park, KS 66211 - Phone
- (913) 381-5225
- Fax
- (913) 901-0186
- NPI assigned
- Dec 30, 2005
- Last updated
- Feb 10, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 15-00878 | KS | Primary |
| Physician Assistant | 363A00000X | 2017026091 | MO | |
| Medical Physician Assistant | 363AM0700X | 1500878 | KS |
Addresses
Primary practice location
10701 Nall Ave Ste 200
Overland Park, KS 66211
Mailing address
10701 Nall Ave Ste 200
Overland Park, KS 66211-1358
Phone (913) 381-5225
Other practice location 1
1700 Cogdell Blvd
Snyder, TX 79549-6162
Phone (325) 574-7240
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | barry.kentopp@kcbj.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13761 Metcalf Ave
Overland Park, KS 66223-7899
Phone (913) 814-3788
15620 Manchester Rd
Suite 2
Ellisville, MO 63011-2276
Phone (314) 699-9181
228 NW Oldham Pkwy
Carenow
Lees Summit, MO 64081-1520
Phone (816) 600-4075
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017026091 | MO | MD | Physician Assistant |
| 1500878 | KS | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wound Healing Care Specialists Mo Inc | Current | Accepting new patients | |
| Wound Healing Care Specialists KS Inc | Current | Accepting new patients | |
| Emergency Services, PA | Past | Accepting new patients |
Locations
3536 Concours
Ste 225
Ontario, CA 91764
Phone (314) 699-9181
25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321
7300 W 110th St
Fl 7
Overland Park, KS 66210
Phone (650) 761-4056
15620 Manchester Rd
Ste 2
Ellisville, MO 63011
Phone (314) 699-9181
Interoperability endpoints
- barry.kentopp@kcbj.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
dba Wound Healing Care Specialists Missouri
- Surgery Physician
- Ellisville, MO
- NPI 1447143805
-
- Surgery Physician
- Topeka, KS
- NPI 1487546248
-
- Emergency Medicine Physician
- Overland Park, KS
- NPI 1649979451
-
- Emergency Medicine Physician
- Wichita, KS
- NPI 1629028881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644451200000",
"number": "1194702050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10701 NALL AVE STE 200",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111358",
"telephone_number": "913-381-5225",
"fax_number": "913-901-0186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10701 NALL AVE STE 200",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "66211",
"telephone_number": "913-381-5225",
"fax_number": "913-901-0186"
}
],
"practiceLocations": [
{
"address_1": "1700 Cogdell Blvd",
"address_purpose": "LOCATION",
"city": "Snyder",
"state": "TX",
"postal_code": "795496162",
"country_code": "US",
"telephone_number": "325-574-7240",
"fax_number": "325-574-7433",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENTOPP",
"first_name": "BARRY",
"middle_name": "L",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-30",
"last_updated": "2022-02-10",
"certification_date": "2022-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KS",
"license": "15-00878",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "2017026091",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "KS",
"license": "1500878",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "barry.kentopp@kcbj.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "10701 Nall Ave Ste 200",
"city": "Overland Park",
"state": "KS",
"country_code": "US",
"postal_code": "66211",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 10, 2022; 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.