Individual provider Active NPI

Yelena Pinzur, D.O.

  • Internal Medicine Physician
  • Leawood, KS
National Provider Identifier
1265488225
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2002012690 Issued in MO
Practice address
8800 State Line Rd
Leawood, KS 66206-1553
Phone
(913) 383-9099
Fax
(816) 383-3103
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2002012690 MO Primary

Addresses

Primary practice location

8800 State Line Rd
Leawood, KS 66206-1553

Mailing address

8800 State Line Rd
Leawood, KS 66206-1553
Phone (913) 383-9099

Other identifiers 2

IdentifierTypeStateIssuer
P00009825OtherMORAILROAD MEDICARE
245988209MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2002012690MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Psychiatric Consultants, P.C. PastSince Apr 20, 1998 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1265488225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 STATE LINE RD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662061553",
            "telephone_number": "913-383-9099",
            "fax_number": "913-383-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 STATE LINE RD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662061553",
            "telephone_number": "913-383-9099",
            "fax_number": "816-383-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINZUR",
        "first_name": "YELENA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2002012690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00009825",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "245988209",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.