Individual provider Active NPI

Harold Scott Ellsworth Jr., MD

  • Orthopaedic Surgery Physician
  • Leawood, KS
National Provider Identifier
1215370648
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
04-39697 Issued in KS
Practice address
3651 College Blvd
Leawood, KS 66211-1910
Phone
(913) 319-7600
Fax
(913) 253-1702
NPI assigned
Apr 16, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2016014587 MO
Orthopaedic Surgery Physician 207X00000X 29343 NV
Orthopaedic Surgery Physician 207X00000X 04-39697 KS Primary

Addresses

Primary practice location

3651 College Blvd
Leawood, KS 66211-1910

Mailing address

3651 College Blvd
Leawood, KS 66211-1910
Phone (913) 319-7600

Other practice location 1

973 Mica Dr Ste 201
Carson City, NV 89705-7258
Phone (775) 348-8800

Other practice location 2

10539 Professional Cir Ste 201
Reno, NV 89521-3858
Phone (775) 348-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS, NV3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180823002536 MO Practitioner - Orthopedic Surgery 4486956869 Reassigns benefits to 2 organizations
I20190727000346 KS Practitioner - Orthopedic Surgery 4486956869 Reassigns benefits to 1 organization
I20260611004358 NV Practitioner - Orthopedic Surgery 4486956869

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Texas Medical School at Houston, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

100 E Kansas St
Lansing, KS 66043-1610
Phone (913) 758-0283

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)49
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-39697KSMDOrthopaedic Surgery Physician
2016014587MOMDOrthopaedic Surgery Physician
29343NVMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University CurrentSince Aug 1, 2018 Accepting new patients
Dickson Diveley Midwest Orthopaedic Clinic LLC Orthopaedic Surgery CurrentSince Aug 1, 2019 Accepting new patients
Washington University CurrentSince Aug 1, 2018 Accepting new patients
Dickson Diveley Midwest Orthopaedic Clinic LLC Orthopaedic Surgery CurrentSince Aug 1, 2019 Accepting new patients

Locations

3651 W 111th St
Overland Park, KS 66211
Phone (800) 876-5958

10777 Nall Ave
Ste 300
Overland Park, KS 66211
Phone (913) 257-6259

7450 Kessler St
Ste 140
Shawnee Mission, KS 66204
Phone (913) 319-7600

17067 S Outer Rd
Ste 301
Belton, MO 64012
Phone (913) 257-6259

201 W Road Mize Rd
Ste 200
Blue Springs, MO 64014
Phone (913) 319-7600

4320 Wornall Rd
Ste 610
Kansas City, MO 64111
Phone (913) 319-7600

660 S Euclid Ave
#8233
Saint Louis, MO 63110
Phone (314) 747-2555

4921 Parkview Pl
Ste 6A6B12A
Saint Louis, MO 63110
Phone (314) 747-2551

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/kcortho-a1c3a2f7
  • Direct secure messaging: harold.ellsworth@direct.tmcmed.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1215370648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 COLLEGE BLVD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111910",
            "telephone_number": "913-319-7600",
            "fax_number": "913-253-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 COLLEGE BLVD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111910",
            "telephone_number": "913-319-7600",
            "fax_number": "913-253-1702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "973 Mica Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "897057258",
            "country_code": "US",
            "telephone_number": "775-348-8800",
            "fax_number": "480-499-8459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10539 Professional Cir Ste 201",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895213858",
            "country_code": "US",
            "telephone_number": "775-348-8800",
            "fax_number": "480-499-8459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLSWORTH",
        "first_name": "HAROLD",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-16",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "2016014587",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NV",
            "license": "29343",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KS",
            "license": "04-39697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

Verify at the official NPI Registry.