Individual provider Active NPI

Allison Lisle Cargnel, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Overland Park, KS
National Provider Identifier
1316054497
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
PERMANENT Issued in MO
Practice address
7301 College Blvd
Overland Park, KS 66210-1937
Phone
(913) 341-6275
NPI assigned
Aug 24, 2006
Last updated
Nov 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X 04-34600 KS
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X PERMANENT MO Primary

Addresses

Primary practice location

7301 College Blvd
Overland Park, KS 66210-1937

Mailing address

7301 College Blvd
Overland Park, KS 66210-1937
Phone (913) 341-6275

Other names 1

  • Allison Elaine Lisle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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
I20101210000793 MO Practitioner - Pathology 2062609456 Reassigns benefits to 1 organization
I20101210000809 KS Practitioner - Pathology 2062609456 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Missouri, Columbia School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Irl Pathology Services Midamerica LLCGroup PAC ID 0840558664, 14 clinicians
Blue Valley Dermatology LLCGroup PAC ID 9133499973, 12 clinicians

Practice addresses (Care Compare)

2316 E Meyer Blvd
Kansas City, MO 64132-1136
Phone (816) 276-4593

5721 W 119TH St
Overland Park, KS 66209-3722
Phone (913) 498-6167

7520 W 160TH St
Suite 100
Overland Park, KS 66085-8137
Phone (913) 871-8221

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PERMANENTMOMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Valley Dermatology LLC CurrentSince Dec 1, 2023 Accepting new patients
Irl Pathology Services Midamerica, LLC Anatomic Pathology & Clinical Pathology CurrentSince Jan 8, 2018 Accepting new patients
Healthone Irl Pathology Services, LLC Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

7840 W 165th St
Ste 260
Overland Park, KS 66223
Phone (913) 632-9400

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

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

7520 W 160th St
Ste 100
Stilwell, KS 66085
Phone (913) 871-8221

19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

2100 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 282-5175

1500 State St
Lexington, MO 64067
Phone (660) 259-2203

Organizations & group practices 3

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 5

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384732800000",
    "number": "1316054497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 COLLEGE BLVD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101937",
            "telephone_number": "913-341-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 COLLEGE BLVD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101937",
            "telephone_number": "913-341-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARGNEL",
        "first_name": "ALLISON",
        "middle_name": "LISLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2013-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "KS",
            "license": "04-34600",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MO",
            "license": "PERMANENT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "LISLE",
            "middle_name": "ELAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.