NPIMap

Organization Active NPI

Menorah Medical Group, LLC

  • Internal Medicine Physician
  • Overland Park, KS
National Provider Identifier
1386957223
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MENORAH MEDICAL GROUP, LLC
Practice address
5701 W 119TH St
Suite 150
Overland Park, KS 66209-3721
Phone
(913) 491-3724
Fax
(913) 491-1281
NPI assigned
Jul 21, 2010
Last updated
Nov 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
Benjamin Calkins
Title
Group Vice President
Phone
(615) 372-6536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

5701 W 119TH St
Suite 150
Overland Park, KS 66209-3721

Mailing address

2000 Health Park Dr
Brentwood, TN 37027-4692
Phone (615) 373-7406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101104001343 KS Part B Supplier - Clinic/Group Practice 1355535162 Receives reassigned benefits from 24 practitioners
Practice locations: Overland Park, KS; Shawnee Mission, KS; Prairie Village, KS
O20120724000136 MO Part B Supplier - Clinic/Group Practice 1355535162 Receives reassigned benefits from 15 practitioners
Practice locations: Lees Summit, MO; Lee's Summit, MO; Kansas City, MO; Belton, MO; Gladstone, MO; Independence, MO

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

10100 W 87th St
Ste 200
Overland Park, KS 66212
Phone (816) 947-0800

13801 Metcalf Ave
Ste 200
Overland Park, KS 66223
Phone (913) 340-7633

5701 W 119th St
Ste 150
Overland Park, KS 66209
Phone (913) 339-9355

17067 S Outer Rd
Ste 200
Belton, MO 64012
Phone (816) 348-4270

19550 E 39th St S
Ste 110
Independence, MO 64057
Phone (816) 698-8900

19550 E 39th St S
Ste S
Independence, MO 64057
Phone (816) 478-2600

211 NE 54th St
Kansas City, MO 64118
Phone (816) 453-6777

373 W 101st Ter
Ste 130
Kansas City, MO 64114
Phone (913) 345-6901

6060 N Oak Trfy
Ste 101
Kansas City, MO 64118
Phone (816) 285-8479

1980 SE Blue Pkwy
Ste 2330
Lees Summit, MO 64063
Phone (816) 607-2940

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1386957223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274692",
            "telephone_number": "615-373-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 W 119TH ST",
            "address_2": "SUITE 150",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662093721",
            "telephone_number": "913-491-3724",
            "fax_number": "913-491-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENORAH MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-21",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "CALKINS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "GROUP VICE PRESIDENT",
        "authorized_official_telephone_number": "615-372-6536"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.