Individual provider Active NPI

Tina Leck Soltys, D.O.

  • Family Medicine Physician
  • Shawnee, KS
National Provider Identifier
1396986303
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2012023218 Issued in MO
Practice address
9300 Meadow View Dr
Shawnee, KS 66227-7288
Phone
(913) 299-3700
NPI assigned
Mar 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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 2012023218 MO Primary

Addresses

Primary practice location

9300 Meadow View Dr
Shawnee, KS 66227-7288

Mailing address

5675 Roe Blvd
Ste 100
Roeland Park, KS 66205-2538
Phone (913) 432-2080

Other names 1

  • Tina Marie Leck 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141126000447 KS Practitioner - Family Practice 1254580293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Missouri, Kansas City, School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunflower Medical Group PAGroup PAC ID 0042286106, 36 clinicians

Practice addresses (Care Compare)

2040 Hutton Rd
Suite 102
Kansas City, KS 66109-4566
Phone (913) 299-3700

5675 Roe Blvd
Suite 100
Roeland Park, KS 66205-2515
Phone (913) 432-2080

5675 Roe Blvd
Suite 100
Roeland Park, KS 66205-2538

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2012023218MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunflower Medical Group PA Family Medicine CurrentSince Nov 4, 2014 Accepting new patients
Truman Medical Center Incorporated Past Accepting new patients
Sunflower Medical Group, PA Family Medicine Past Accepting new patients

Locations

2040 Hutton Rd
Ste 102
Kansas City, KS 66109
Phone (913) 299-3700

5675 Roe Blvd
Ste 100
Roeland Park, KS 66205
Phone (913) 432-2080

9300 Meadow View Dr
Shawnee, KS 66227
Phone (913) 299-3700

Interoperability endpoints

  • Direct secure messaging: tinasoltys@smgks.allscriptsdirect.net

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.

Hospital & facility affiliations 3

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": "1237507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1396986303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5675 ROE BLVD",
            "address_2": "STE 100",
            "city": "ROELAND PARK",
            "state": "KS",
            "postal_code": "662052538",
            "telephone_number": "913-432-2080",
            "fax_number": "913-432-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 MEADOW VIEW DR",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662277288",
            "telephone_number": "913-299-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLTYS",
        "first_name": "TINA",
        "middle_name": "LECK",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-20",
        "last_updated": "2021-05-17",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2012023218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "LECK",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shawnee, KS

Sources for this page

Verify at the official NPI Registry.