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Adventhealth South Overland Park, Inc.

Organization Active NPI General Acute Care Hospital · Overland Park, KS

NPI 1316536253 · NPPES record last updated Jul 17, 2026

Key facts

NPI
1316536253
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
Legal business name
ADVENTHEALTH SOUTH OVERLAND PARK, INC.
Practice address
7820 W 165TH St
Overland Park, KS 66223-2925
Phone
(913) 373-1100
Fax
(913) 789-3867
NPI assigned
Jan 14, 2021
Organization subpart
No

Authorized official

Name
Dayton Botts
Title
Cfo
Phone
(913) 373-4114

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Facilities with the same owner 88

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 88

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 338

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 338

Medicare Care Compare: Hospital

Listed as
Adventhealth South Overland Park, Inc CCN 170208
Overall star rating
★★★★☆ 4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2120781Adventhealth South Overland Park
7820 W 165TH Street, Overland Park, KS 66223		AccreditationOct 31, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KS

Hospital certification: CCN 170208

Legal name
ADVENTHEALTH SOUTH OVERLAND PARK INC
Doing business as
ADVENTHEALTH SOUTH OVERLAND PARK
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Nov 29, 2021
Last certification
Nov 29, 2021
Beds
85
Ownership / control type
Private (not for profit)
Organization structure
Corporation · Non-profit
Enrollment address
7820 W 165TH St
Overland Park, KS 66223-2925
Main/Primary Hospital Location
Hospital subgroups
General

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Amy Tysseling
Individual 		Corporate Director
Director		 Feb 15, 2021
Hannah Decamp
Individual 		Corporate Director
Director		 Jan 24, 2023
Adventisit Health Mid-America Inc
Organization · Altamonte Springs, FL
Corporation, Non-profit, Owned by another organization or individual 		5% Or Greater Direct Ownership Interest Oct 3, 2021 100%
Kathryn Wiltse
Individual 		Corporate Officer
Assistant Secretary		 Jun 19, 2020
Sam Huenergardt
Individual 		Corporate Officer
Chair		 Feb 15, 2021
Corporate Director
Director		 Jun 19, 2020
Michael Saunders
Individual 		Corporate Officer
Assistant Secretary		 Jun 6, 2007
Dayton Botts
Individual 		Contracted Managing Employee
Cfo		 Jun 4, 2023
Corporate Officer
Assistant Secretary, Cfo		 Dec 12, 2023
Operational/Managerial Control
Ceo		 Jun 4, 2023
Adventist Health System Sunbelt Healthcare Corporation
Organization · Altamonte Springs, FL
Corporation, Non-profit, Chain home office 		5% Or Greater Indirect Ownership Interest Oct 3, 2021 100%
Luis Garcia
Individual 		Corporate Director
Director		 Oct 1, 2024
Lyle Pishny
Individual 		Corporate Director
Director		 Feb 15, 2021
William K Heinrich
Individual 		Corporate Officer
Treasurer		 Sep 30, 2021
Corporate Director
Director		 Sep 30, 2021
David L Huffman
Individual 		Corporate Officer
Assistant Secretary		 Feb 15, 2021
Carl Gerlach
Individual 		Corporate Director
Director		 Feb 15, 2021
Lynn Addiscott
Individual 		Corporate Officer
Assistant Secretary		 Oct 2, 2006
Jennifer L Brown
Individual 		Corporate Director
Director		 Jan 1, 2025
Sheri Johnson
Individual 		Corporate Director
Director		 Feb 15, 2021
Dallas Purkeypile
Individual 		Contracted Managing Employee
President/Ceo		 Mar 18, 2024
Corporate Officer
President/Secretary/Vice Chair/Ceo		 Mar 18, 2024
Corporate Director
Director		 Mar 18, 2024
Operational/Managerial Control
President/Ceo		 Mar 18, 2024
Adventist Health System Sunbelt Inc
Organization · Altamonte Springs, FL
Corporation, Non-profit, Owned by another organization or individual 		5% Or Greater Indirect Ownership Interest Oct 3, 2021 100%

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20211014001468 KS Part a Provider - Hospital 8426456831 Practice locations: Overland Park, KS

National Provider Directory

Locations

7840 W 165th St
Ste 150
Overland Park, KS 66223
Phone (913) 373-2151

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Yes

Addresses

Primary practice location

7820 W 165TH St
Overland Park, KS 66223-2925

Mailing address

7820 W 165TH St
Overland Park, KS 66223-2925
Phone (913) 373-1100

Other names

  • AdventHealth South Overland Park Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://www.mettles.com/ Other
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other AdventHealth South Overland Park, Inc.

Other providers in Overland Park, KS

All providers in Overland Park, KS · General Acute Care Hospital in Kansas

Sources for this page

Verify at the official NPI Registry.