Individual provider Active NPI

Joseph J Ekstrand, MD

  • Internal Medicine Physician
  • Overland Park, KS
National Provider Identifier
1407110216
Registry record updated Dec 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R9575 Issued in IA
Practice address
10550 Marty St Ste 201
Overland Park, KS 66212-2557
Phone
(913) 341-4000
Fax
(515) 241-6576
NPI assigned
Jun 26, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R9575 IA Primary

Addresses

Primary practice location

10550 Marty St Ste 201
Overland Park, KS 66212-2557

Mailing address

10550 Marty St Ste 201
Overland Park, KS 66212-2557
Phone (913) 341-4000

Other practice location 1

1415 Woodland Ave
Suite 140
Des Moines, IA 50309-3203
Phone (515) 241-5995

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
I20161019000536 KS Practitioner - Geriatric MedicinePractitioner - Internal Medicine 5294978821 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R9575IAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Louay K. Sabih, LLC Internal Medicine CurrentSince Sep 12, 2016 Accepting new patients
Iowa Physicians Clinic Medical Foundation Internal Medicine Past Accepting new patients
Medical Specialists PA PastSince Dec 27, 2020 Accepting new patients

Locations

10550 Marty St
Ste 201
Overland Park, KS 66212

12100 W 109th St
Shawnee Mission, KS 66210
Phone (913) 469-4210

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

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": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608768000000",
    "number": "1407110216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10550 MARTY ST STE 201",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662122557",
            "telephone_number": "913-341-4000",
            "fax_number": "515-241-6576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10550 MARTY ST STE 201",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662122557",
            "telephone_number": "913-341-4000",
            "fax_number": "515-241-6576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 Woodland Ave",
            "address_2": "Suite 140",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503093203",
            "country_code": "US",
            "telephone_number": "515-241-5995",
            "fax_number": "515-241-6576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EKSTRAND",
        "first_name": "JOSEPH",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-26",
        "last_updated": "2020-12-24",
        "certification_date": "2020-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "R9575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.