Active NPI
Russell Lee Benson, MD
- Anatomic Pathology & Clinical Pathology Physician
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 04-21976
- Practice address
- 8005 W 110TH St Ste 200
Overland Park, KS 66210-2619 - Phone
- (913) 341-6297
- Fax
- (913) 663-0191
- NPI assigned
- Apr 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 04-21976 | KS | Primary |
Addresses
Primary practice location
8005 W 110TH St Ste 200
Overland Park, KS 66210-2619
Mailing address
PO Box 26827
Overland Park, KS 66225-6827
Phone (913) 341-6297
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100121990B | Medicaid | KS | |
| 13338048 | Other | KS CITY BCBS | |
| 202593414 | Medicaid | MO |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090128000230 | KS | Practitioner - Pathology | 3779563523 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Missouri, Columbia School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gastrointestinal Associates LLC
Practice addresses (Care Compare)
10200 W 105TH St
Suite 200
Overland Park, KS 66212-5750
Phone (913) 495-9600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-21976 | KS | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastrointestinal Associates, LLC | Current | Accepting new patients | |
| Cep America - California | Past | Accepting new patients |
Locations
10200 W 105th St
Ste 200
Overland Park, KS 66212
Phone (913) 495-9600
10116 W 105th St
Overland Park, KS 66212
Phone (913) 495-9600
5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Overland Park, KS
- NPI 1790748580
KS
-
- Emergency Medicine Physician
- Pomona, CA
- NPI 1740235258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743984000000",
"number": "1427011998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26827",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662256827",
"telephone_number": "913-341-6297",
"fax_number": "913-663-0191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8005 W 110TH ST STE 200",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662102619",
"telephone_number": "913-341-6297",
"fax_number": "913-663-0191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENSON",
"first_name": "RUSSELL",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-07",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "KS",
"license": "04-21976",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100121990B",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KS CITY BCBS",
"identifier": "13338048",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202593414",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.