NPIMap

Individual provider Active NPI

Cora A Mallot, MD

  • Family Medicine Physician
  • Overland Park, KS
National Provider Identifier
1194796441
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0447050 Issued in KS
Practice address
7840 W 165TH St Ste 160
Overland Park, KS 66223-3021
Phone
(913) 373-2141
Fax
(913) 373-2146
NPI assigned
Jan 26, 2006
Last updated
Dec 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD 2001013353 MO
Family Medicine Physician 207Q00000X 2001013353 MO
Family Medicine Physician 207Q00000X 0447050 KS Primary

Addresses

Primary practice location

7840 W 165TH St Ste 160
Overland Park, KS 66223-3021

Mailing address

7840 W 165TH St Ste 160
Overland Park, KS 66223-3021
Phone (913) 373-2141

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
I20221214000887 KS Practitioner - Family Practice 6103829460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7820 W 165TH St
Ahmg OB Hospitalists at South Overland Park
Overland Park, KS 66223-2925
Phone (913) 373-2000

9301 W 74TH St
100 Ahmg Hematology Oncology at Shawnee
Merriam, KS 66204-2217
Phone (913) 632-9100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0447050KSMDFamily Medicine Physician
MD 2001013353MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Mission Medical Center Inc Family Medicine CurrentSince Dec 26, 2022 Accepting new patients

Locations

7315 E Frontage Rd
Ste 206
Merriam, KS 66204
Phone (913) 789-3938

7840 W 165th St
Ste 160
Overland Park, KS 66223
Phone (913) 373-2141

9301 W 74th St
Ste 100
Shawnee Mission, KS 66204
Phone (913) 632-9100

Interoperability endpoints

  • Direct secure messaging: cmallot1137128@adventhealth.direct-ci.com

Organizations & group practices 1

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 8

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1194796441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7840 W 165TH ST STE 160",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662233021",
            "telephone_number": "913-373-2141",
            "fax_number": "913-373-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7840 W 165TH ST STE 160",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662233021",
            "telephone_number": "913-373-2141",
            "fax_number": "913-373-2146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLOT",
        "first_name": "CORA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "MD 2001013353",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2001013353",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0447050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.