Active NPI
Wanda Kaniewski, M.D.
- Surgery Physician
- Lenexa, KS
National Provider Identifier
1376764043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 30487
- Practice address
- 10951 Lakeview Ave Ste a
Lenexa, KS 66219-1331 - Phone
- (913) 322-7401
- Fax
- (913) 322-7410
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 30487 | KS | Primary |
Addresses
Primary practice location
10951 Lakeview Ave Ste a
Lenexa, KS 66219-1331
Mailing address
10951 Lakeview Ave Ste a
Lenexa, KS 66219-1331
Phone (913) 322-7401
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090911000531 | KS | Practitioner - General Surgery | 6901807346 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30487 | KS | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minimally Invasive Surgery Hospital | General Acute Care Hospital | Current | Accepting new patients |
| Saradih Healthcare Services, LLC | Current | Accepting new patients | |
| Kansas Institute of Medicine | Past | Accepting new patients |
Locations
11217 Lakeview Ave
Ste A
Lenexa, KS 66219
10951 Lakeview Ave
Ste A
Lenexa, KS 66219
Phone (913) 322-7401
10951 Lakeview Ave
Lenexa, KS 66219
Phone (913) 322-4701
11217 Lakeview Ave
Lenexa, KS 66219
Phone (913) 322-7401
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Lenexa, KS
- NPI 1619069275
-
- Internal Medicine Physician
- Lenexa, KS
- NPI 1982827523
-
- Family Medicine Physician
- Lenexa, KS
- NPI 1699100917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743984000000",
"number": "1376764043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10951 LAKEVIEW AVE STE A",
"city": "LENEXA",
"state": "KS",
"postal_code": "662191331",
"telephone_number": "913-322-7401",
"fax_number": "913-322-7410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10951 LAKEVIEW AVE STE A",
"city": "LENEXA",
"state": "KS",
"postal_code": "662191331",
"telephone_number": "913-322-7401",
"fax_number": "913-322-7410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANIEWSKI",
"first_name": "WANDA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "KS",
"license": "30487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lenexa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.