Individual provider Active NPI

Andrea Renee Hufford, D.O

  • Surgical Critical Care Physician
  • Overland Park, KS
National Provider Identifier
1417122052
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
0539363 Issued in KS
Practice address
10500 Quivira Rd
Overland Park, KS 66215-2306
Phone
(913) 541-5000
NPI assigned
Apr 24, 2008
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 262961 NY
Surgery Physician 208600000X 0539363 KS
Surgery Physician 208600000X 2014010260 MO
Surgical Critical Care Physician 2086S0102X 2014010260 MO
Surgical Critical Care Physician 2086S0102X 0539363 KS Primary

Addresses

Primary practice location

10500 Quivira Rd
Overland Park, KS 66215-2306

Mailing address

12200 W 106TH St Ste 235
Overland Park, KS 66215-2368
Phone (913) 541-3540

Other practice location 1

12200 W 106th St Ste 235
Overland Park, KS 66215-2368
Phone (913) 541-3540

Other practice location 2

5115 Beach Channel Dr
Far Rockaway, NY 11691-1042
Phone (718) 734-3020

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
I20170221001052 KS Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 0547486177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Overland Park Orthopedics LLCGroup PAC ID 9032272026, 11 clinicians

Practice addresses (Care Compare)

10500 Quivira Rd
Overland Park, KS 66215-2306
Phone (913) 541-5000

10550 Quivira Rd
Suite 110
Overland Park, KS 66215-2370
Phone (913) 888-0860

10550 Quivira Rd
Suite 250
Overland Park, KS 66215-2303
Phone (913) 541-3540

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0539363KSMDSurgery Physician
262961NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Overland Park Orthopedics, LLC CurrentSince Feb 19, 2017 Accepting new patients
Midwest Division-Oprmc LLC Past Accepting new patients
Saint Luke's Hospital of Trenton Past Accepting new patients

Locations

10550 Quivira Rd
Ste 110
Overland Park, KS 66215
Phone (913) 541-6088

12200 W 106th St
Ste 235
Overland Park, KS 66215
Phone (913) 492-8686

12200 W 106th St
Ste 400
Overland Park, KS 66215
Phone (816) 459-7500

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

Interoperability endpoints

  • Direct secure messaging: andrea.hufford@hca2.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1417122052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 W 106TH ST STE 235",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152368",
            "telephone_number": "913-541-3540",
            "fax_number": "913-227-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 QUIVIRA RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152306",
            "telephone_number": "913-541-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12200 W 106th St Ste 235",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662152368",
            "country_code": "US",
            "telephone_number": "913-541-3540",
            "fax_number": "913-227-0021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5115 Beach Channel Dr",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "116911042",
            "country_code": "US",
            "telephone_number": "718-734-3020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUFFORD",
        "first_name": "ANDREA",
        "middle_name": "RENEE",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "262961",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "0539363",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2014010260",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "MO",
            "license": "2014010260",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "KS",
            "license": "0539363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.