NPIMap

Individual provider Active NPI

Erin A McGonigle, D.O.

  • Family Medicine Physician
  • Merriam, KS
National Provider Identifier
1457615635
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38069 Issued in KS
Practice address
7450 Kessler St Ste 300
Merriam, KS 66204-2550
Phone
(913) 632-2900
Fax
(913) 831-6883
NPI assigned
Jul 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2012020294 MO
Family Medicine Physician 207Q00000X 38069 KS Primary

Addresses

Primary practice location

7450 Kessler St Ste 300
Merriam, KS 66204-2550

Mailing address

7450 Kessler St Ste 300
Merriam, KS 66204-2550
Phone (913) 632-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150730011608 KS Practitioner - Family Practice 1052552312 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Shawnee Mission Medical Center IncGroup PAC ID 9537119037, 282 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

9301 W 74TH St
100 Ahmg Hematology Oncology at Shawnee
Merriam, KS 66204-2217
Phone (913) 632-9100

Hospital & facility affiliations

  • Adventhealth Home Health Home health agency, Shawnee Mission, KS, CCN 178058
  • Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104
  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
  • Adventhealth South Overland Park, Inc Hospital, Overland Park, KS, CCN 170208

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38069KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Mission Medical Center, Inc. Family Medicine CurrentSince Apr 8, 2020 Accepting new patients
Shawnee Mission Medical Center Inc Family Medicine CurrentSince Aug 1, 2015 Accepting new patients
Shawnee Mission Medical Center, Inc. CurrentSince Apr 8, 2020 Accepting new patients

Locations

7301 E Frontage Rd
Merriam, KS 66204
Phone (913) 676-2163

7450 Kessler Ln
Ste 300
Merriam, KS 66204

9301 W 74th St
Ste 100
Shawnee Mission, KS 66204
Phone (913) 632-9100

7450 Kessler St
Ste 300
Shawnee Msn, KS 66204
Phone (913) 632-2900

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

Interoperability endpoints

  • Direct secure messaging: emcgonigle661836@adventhealth.direct-ci.com

Organizations & group practices 4

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 6

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": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1457615635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 KESSLER ST STE 300",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662042550",
            "telephone_number": "913-632-2900",
            "fax_number": "913-831-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 KESSLER ST STE 300",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662042550",
            "telephone_number": "913-632-2900",
            "fax_number": "913-831-6883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGONIGLE",
        "first_name": "ERIN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-02",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2012020294",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "38069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merriam, KS

Sources for this page

Verify at the official NPI Registry.