Individual provider Active NPI

Cecil A Vandenabeele, PA

  • Physician Assistant
  • Olathe, KS
National Provider Identifier
1396827267
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-01004 Issued in KS
Practice address
20805 W 151St St Ste 224
Olathe, KS 66061-7249
Phone
(913) 782-8300
Fax
(913) 782-1574
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2005003645 MO
Medical Physician Assistant 363AM0700X 1501004 KS
Physician Assistant 363A00000X 15-01004 KS Primary

Addresses

Primary practice location

20805 W 151St St Ste 224
Olathe, KS 66061-7249

Mailing address

20805 W 151St St Ste 224
Olathe, KS 66061-7249
Phone (913) 782-8300

Other identifiers 1

IdentifierTypeStateIssuer
1396827267MedicaidMO

Other names 1

  • Cecil A Laws Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070116000230 KS Practitioner - Physician Assistant 1951327246 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians

Practice addresses (Care Compare)

20375 W 151St St
Olathe, KS 66160-0001
Phone (913) 588-1227

20805 W 151St St
Olathe, KS 66061-7249
Phone (913) 588-1227

3901 Rainbow Blvd
Kansas City, KS 66160-0001
Phone (913) 588-7775

3901 Rainbow Blvd
Kansas City, KS 66160-8500
Phone (913) 588-7013

4000 Cambridge St
Kansas City, KS 66160-0001
Phone (913) 588-1227

4000 Cambridge St
Kansas City, KS 66160-8500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.74 of 100Reported as group
Quality
16.27
Promoting interoperability
0
Improvement activities
0
Cost
66.19

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1501004KSMDMedical Physician Assistant
2005003645MOMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc CurrentSince Jan 1, 2024 Accepting new patients
Olathe Health Physicians, Inc. CurrentSince Dec 17, 2018 Accepting new patients
Olathe Health Physicians, Inc. CurrentSince Dec 17, 2018 Accepting new patients
Kansas University Physicians Inc CurrentSince Jan 1, 2024 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Kansas University Physicians Inc Past Accepting new patients

Locations

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

11300 Corporate Ave
Ste 342
Lenexa, KS 66219
Phone (913) 574-0425

20805 W 151st St
Ste 224B
Olathe, KS 66061

20805 W 151st St
Ste 400
Olathe, KS 66061
Phone (913) 355-4900

23450 College Blvd
Olathe, KS 66061
Phone (913) 355-7788

20805 W 151st St
Ste 224
Olathe, KS 66061
Phone (913) 355-8400

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

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1396827267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20805 W 151ST ST STE 224",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617249",
            "telephone_number": "913-782-8300",
            "fax_number": "913-782-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20805 W 151ST ST STE 224",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617249",
            "telephone_number": "913-782-8300",
            "fax_number": "913-782-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDENABEELE",
        "first_name": "CECIL",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MO",
            "license": "2005003645",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "1501004",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396827267",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CECIL",
            "last_name": "LAWS",
            "middle_name": "A",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.