Individual provider Active NPI

Kelly A Mosher, MD

  • Obstetrics & Gynecology Physician
  • Overland Park, KS
National Provider Identifier
1427687482
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
04-49486 Issued in KS
Practice address
14253 Metcalf Ave
Overland Park, KS 66223-3367
Phone
(913) 218-0162
Fax
(816) 600-2239
NPI assigned
Apr 2, 2020
Last updated
Aug 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2020022268 MO
Obstetrics & Gynecology Physician 207V00000X 04-49486 KS Primary

Addresses

Primary practice location

14253 Metcalf Ave
Overland Park, KS 66223-3367

Mailing address

14253 Metcalf Ave
Overland Park, KS 66223-3367
Phone (913) 218-0162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240913000274 MO Practitioner - Obstetrics/Gynecology 8224458237
I20240913000389 KS Practitioner - Obstetrics/Gynecology 8224458237

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020022268MOMDObstetrics & Gynecology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1427687482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14253 METCALF AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662233367",
            "telephone_number": "913-218-0162",
            "fax_number": "816-600-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14253 METCALF AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662233367",
            "telephone_number": "913-218-0162",
            "fax_number": "816-600-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSHER",
        "first_name": "KELLY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2020022268",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "04-49486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.