Individual provider Active NPI

Matthew Thomas McLeay, M.D.

  • Pulmonary Disease Physician
  • Olathe, KS
National Provider Identifier
1265434328
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
19414 Issued in NE
Practice address
20375 W 151St St Ste 451
Olathe, KS 66061-7210
Phone
(913) 829-0446
Fax
(913) 829-7829
NPI assigned
Jun 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 04-22824 KS
Pulmonary Disease Physician 207RP1001X 19414 NE Primary

Addresses

Primary practice location

20375 W 151St St Ste 451
Olathe, KS 66061-7210

Mailing address

20375 W 151St St Ste 451
Olathe, KS 66061-7210
Phone (913) 829-0446

Other practice location 1

8552 Cass St
Suite 301
Omaha, NE 68114-3570
Phone (402) 390-0606

Other identifiers 2

IdentifierTypeStateIssuer
1938647MedicaidIA
7712380MedicaidSD

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161102000391 KS Practitioner - Pulmonary DiseasePractitioner - Interventional Pain ManagementPractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 7618969783 Reassigns benefits to 1 organization
I20170403002017 MO Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 7618969783 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-22824KSMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Landmark Hospital of Columbia LLC CurrentSince Feb 1, 2022 Accepting new patients
Landmark Hospital of Joplin, LLC CurrentSince Feb 1, 2022 Accepting new patients
Midwest Sleep Docs, LLC Pulmonary Disease Past Accepting new patients

Locations

604 Old Highway 63 N
Columbia, MO 65201
Phone (573) 499-6600

3255 Independence St
Cpe Girardeau, MO 63701
Phone (573) 331-8026

2040 W 32nd St
Joplin, MO 64804
Phone (417) 627-1300

Interoperability endpoints

  • Direct secure messaging: matthewmcleay@mhccaremail.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508976000000",
    "number": "1265434328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20375 W 151ST ST STE 451",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617210",
            "telephone_number": "913-829-0446",
            "fax_number": "913-829-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20375 W 151ST ST STE 451",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617210",
            "telephone_number": "913-829-0446",
            "fax_number": "913-829-7829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8552 Cass St",
            "address_2": "Suite 301",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681143570",
            "country_code": "US",
            "telephone_number": "402-390-0606",
            "fax_number": "402-390-0899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLEAY",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2017-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KS",
            "license": "04-22824",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NE",
            "license": "19414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1938647",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7712380",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.