Individual provider Active NPI

Marisa Argubright, D.O.

  • Family Medicine Physician
  • Overland Park, KS
National Provider Identifier
1245679760
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05-39367 Issued in KS
Practice address
11725 W 112TH St
Overland Park, KS 66210-2761
Phone
(913) 469-5579
Fax
(913) 469-0824
NPI assigned
Jun 18, 2013
Last updated
Sep 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 05-39367 KS Primary
Family Medicine Physician 207Q00000X 2013019109 MO

Addresses

Primary practice location

11725 W 112TH St
Overland Park, KS 66210-2761

Mailing address

11725 W 112TH St
Overland Park, KS 66210-2761
Phone (913) 469-5579

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161006000486 KS Practitioner - Family Practice 9739486754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Overland Park Surgical Specialties LLCGroup PAC ID 9234318502, 86 clinicians

Practice addresses (Care Compare)

11725 W 112TH St
Overland Park, KS 66210-2761
Phone (913) 469-5452

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05-39367KSMDFamily Medicine Physician
2013019109MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Overland Park Surgical Specialties LLC Family Medicine CurrentSince Sep 6, 2016 Accepting new patients
College Park Family Care Center PA Family Medicine Past Accepting new patients

Locations

10100 W 119th St
Ste 150
Overland Park, KS 66213
Phone (913) 469-8878

10500 Quivira Rd
Ste 130
Overland Park, KS 66215
Phone (913) 956-4200

10600 Mastin St
Ste A
Overland Park, KS 66212
Phone (913) 274-2600

10600 Mastin St
Ste C
Overland Park, KS 66212
Phone (913) 469-6447

11725 W 112th St
Overland Park, KS 66210
Phone (913) 469-5452

11725 W 112th St
Ste 102
Overland Park, KS 66210

11755 W 112th St
Ste 202
Overland Park, KS 66210
Phone (913) 469-0433

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

Interoperability endpoints

  • Direct secure messaging: marisa.argubright@hca2.eclinicaldirectplus.com

Organizations & group practices 2

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 1

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": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1245679760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11725 W 112TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102761",
            "telephone_number": "913-469-5579",
            "fax_number": "913-469-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11725 W 112TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102761",
            "telephone_number": "913-469-5579",
            "fax_number": "913-469-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARGUBRIGHT",
        "first_name": "MARISA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-39367",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2013019109",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.