Individual provider Active NPI

Brendan B Mitchell, M.D.

  • Obstetrics & Gynecology Physician
  • Shawnee Mission, KS
National Provider Identifier
1356346175
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
04-25128 Issued in KS
Practice address
8901 W 74TH St
Ste 248
Shawnee Mission, KS 66204-2202
Phone
(913) 384-4990
Fax
(913) 384-1310
NPI assigned
Jun 17, 2005
Last updated
Mar 8, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 04-25128 KS Primary

Addresses

Primary practice location

8901 W 74TH St
Ste 248
Shawnee Mission, KS 66204-2202

Mailing address

8901 W 74TH St
Ste 248
Shawnee Mission, KS 66204-2202
Phone (913) 384-4990

Other identifiers 1

IdentifierTypeStateIssuer
100157340AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110209000627 KS Practitioner - Obstetrics/Gynecology 9931200177 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Saint Louis University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Physician Services LLCGroup PAC ID 1658500962, 39 clinicians

Practice addresses (Care Compare)

9301 W 74TH St
325 Womens Care
Shawnee Mission, KS 66204-2217
Phone (913) 384-4990

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-25128KSMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid America Physician Services LLC Obstetrics & Gynecology CurrentSince Nov 1, 2013 Accepting new patients
Shawnee Mission Medical Center Inc Obstetrics & Gynecology CurrentSince May 1, 2024 Accepting new patients
Shawnee Mission Medical Center Inc Past Accepting new patients
Adventhealth South Overland Park, Inc. Past Accepting new patients
Womens Care Obstetrics & Gynecology Past Accepting new patients

Locations

8801 Monrovia St
Ste 200
Lenexa, KS 66215

9301 W 74th St
Ste 100
Shawnee Mission, KS 66204
Phone (913) 632-9100

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

9301 W 74th St
Ste 325
Shawnee Msn, KS 66204
Phone (913) 384-4990

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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 2

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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1356346175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 W 74TH ST",
            "address_2": "STE 248",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662042202",
            "telephone_number": "913-384-4990",
            "fax_number": "913-384-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 W 74TH ST",
            "address_2": "STE 248",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662042202",
            "telephone_number": "913-384-4990",
            "fax_number": "913-384-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "BRENDAN",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "04-25128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100157340A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee Mission, KS

Sources for this page

Verify at the official NPI Registry.