Active NPI
Melissa Ann Trudrung
- Ophthalmology Physician
- Prairie Village, KS
National Provider Identifier
1215794243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 94-12313
- Practice address
- 7400 State Line Rd
Prairie Village, KS 66208-3444 - Phone
- (913) 588-6660
- NPI assigned
- Mar 5, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 94-12313 | KS | Primary |
Addresses
Primary practice location
7400 State Line Rd
Prairie Village, KS 66208-3444
Mailing address
7400 State Line Rd
Prairie Village, KS 66208-3444
Phone (913) 588-6660
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250614000267 | KS | Order and Referring Only - Ophthalmology | 6608387964 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94-12313 | KS | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749340800000",
"number": "1215794243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 STATE LINE RD",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662083444",
"telephone_number": "913-588-6660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 STATE LINE RD",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662083444",
"telephone_number": "913-588-6660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUDRUNG",
"first_name": "MELISSA",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-05",
"last_updated": "2025-06-08",
"certification_date": "2025-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "KS",
"license": "94-12313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prairie Village, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.