Individual provider Active NPI

Barry L Kentopp, PA

  • Physician Assistant
  • Overland Park, KS
National Provider Identifier
1194702050
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-00878 Issued in KS
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address barry.kentopp@kcbj.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040607001324 KS Practitioner - Physician Assistant 1557343035 Reassigns benefits to 3 organizations
I20170807001278 MO Practitioner - Physician Assistant 1557343035 Reassigns benefits to 2 organizations

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
Kansas Carenow Urgent Care LLCGroup PAC ID 8527340702, 71 clinicians
Wound Healing Care Specialists Mo IncGroup PAC ID 4587160197, 2 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2017026091MOMDPhysician Assistant
1500878KSMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Healing Care Specialists Mo Inc CurrentSince Oct 11, 2025 Accepting new patients
Wound Healing Care Specialists KS Inc CurrentSince Aug 6, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.