Individual provider Active NPI

Wanda Kaniewski, M.D.

  • Surgery Physician
  • Lenexa, KS
National Provider Identifier
1376764043
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
30487 Issued in KS
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

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090911000531 KS Practitioner - General Surgery 6901807346

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30487KSMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Minimally Invasive Surgery Hospital General Acute Care Hospital Current Accepting new patients
Saradih Healthcare Services, LLC CurrentSince Apr 27, 2025 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.

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

Verify at the official NPI Registry.