Individual provider Active NPI

Ronda Lynn Warren, MD

  • Family Medicine Physician
  • Overland Park, KS
National Provider Identifier
1396733911
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
106408 Issued in MO
Practice address
5211 W 103Rd St
Overland Park, KS 66207-3154
Phone
(913) 383-2569
NPI assigned
Oct 7, 2005
Last updated
Feb 28, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 106408 MO Primary

Addresses

Primary practice location

5211 W 103Rd St
Overland Park, KS 66207-3154

Mailing address

10540 Marty St
Ste 100
Overland Park, KS 66212-2551
Phone (913) 660-1616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10540 Marty St
Suite 100
Overland Park, KS 66212-2657

13725 Metcalf Ave
Overland Park, KS 66223-7899

5080 Spectrum Dr
Suite 1200W
Addison, TX 75001-6443

6101 Blue Lagoon Dr
Suite 200
Miami, FL 33126-3168

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (Mo) PC Family Medicine Current Accepting new patients
New Liberty Hospital Corporation Family Medicine PastSince Jul 4, 2015 Accepting new patients
Urgent Care Billing Past Accepting new patients
Inpatient Consultants of Kansas PA Family Medicine Past Accepting new patients
Shawnee Mission Medical Center Inc Family Medicine Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1396733911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10540 MARTY ST",
            "address_2": "STE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662122551",
            "telephone_number": "913-660-1616",
            "fax_number": "913-660-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 W 103RD ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662073154",
            "telephone_number": "913-383-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "RONDA",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-07",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "106408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.