Organization Active NPI

Kansas City Sports Medicine Inc

  • Orthopaedic Surgery Physician
  • Lansing, KS
National Provider Identifier
1306133566
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
04-28802 Issued in KS
Legal business name
KANSAS CITY SPORTS MEDICINE INC
Practice address
712 1St Ter
Lansing, KS 66043-1735
Phone
(913) 351-3005
Fax
(913) 351-3009
NPI assigned
Jul 7, 2011
Last updated
Feb 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Authorized official

Name
Dr. Prem Parmar, M.D.NPI 1699747949
Title
Owner
Phone
(913) 351-3005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 04-28802 KS Primary

Addresses

Primary practice location

712 1St Ter
Lansing, KS 66043-1735

Mailing address

712 1St Ter
Lansing, KS 66043-1735
Phone (913) 351-3005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120319000137 KS Part B Supplier - Clinic/Group Practice 3274792841 Receives reassigned benefits from 1 practitioner
Practice locations: Shawnee Mission, KS; Overland Park, KS; Olathe, KS; Lenexa, KS; Leavenworth, KS; Lansing, KS; Kansas City, KS; Fort Leavenworth, KS
O20130216000022 MO Part B Supplier - Clinic/Group Practice 3274792841 Receives reassigned benefits from 1 practitioner
Practice locations: Kansas City, MO; Maryville, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1306133566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 1ST TER",
            "city": "LANSING",
            "state": "KS",
            "postal_code": "660431735",
            "telephone_number": "913-351-3005",
            "fax_number": "913-351-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 1ST TER",
            "city": "LANSING",
            "state": "KS",
            "postal_code": "660431735",
            "telephone_number": "913-351-3005",
            "fax_number": "913-351-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS CITY SPORTS MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "PARMAR",
        "authorized_official_first_name": "PREM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-351-3005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "KS",
            "license": "04-28802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.