Organization Active NPI

Alliance Radiology, PA

  • Diagnostic Radiology Physician
  • Shawnee Mission, KS
National Provider Identifier
1467400663
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ALLIANCE RADIOLOGY, PA
Practice address
9100 W 74TH St
Shawnee Mission, KS 66204-4004
Phone
(913) 599-6777
Fax
(913) 599-3955
NPI assigned
May 4, 2006
Last updated
Jun 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Dr. Andrew Harmon, MDNPI 1396762746
Title
Authorized Official
Phone
(913) 599-6777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

9100 W 74TH St
Shawnee Mission, KS 66204-4004

Mailing address

8005 W 110TH St Ste 214
Overland Park, KS 66210-2619
Phone (913) 599-6777

Other identifiers 8

IdentifierTypeStateIssuer
504770009MedicaidMO
CG3913OtherKSRAILROAD MEDICARE
CJ4964OtherMORAILROAD MEDICARE
100324870BMedicaidKS
507779007MedicaidMO
100324870ZMedicaidKS
CN9669OtherMORAILROAD MEDICARE
503304800MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS, HI, OK4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20031105000794 MO Part B Supplier - Clinic/Group Practice 8426961517 Receives reassigned benefits from 34 practitioners
Practice locations: Liberty, MO; Lexington, MO; Lees Summit, MO; Lake Lotawana, MO; Kearney, MO; Kansas City, MO; Lone Jack, MO; Milan, MO…
O20050721001061 KS Part B Supplier - Clinic/Group Practice 8426961517 Receives reassigned benefits from 34 practitioners
O20231211001823 HI Part B Supplier - Clinic/Group Practice 8426961517 Receives reassigned benefits from 1 practitioner
Practice locations: Haiku, HI
O20250715002560 OK Part B Supplier - Clinic/Group Practice 8426961517 Receives reassigned benefits from 3 practitioners
Practice locations: Miami, OK

National Provider Directory

National Provider Directory

Locations

2613 S Santa Fe Ave
Chanute, KS 66720
Phone (620) 820-5889

10701 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 338-5585

10720 Nall Ave
Overland Park, KS 66211
Phone (913) 588-8411

8000 W 110th St
Ste 150
Overland Park, KS 66210
Phone (913) 338-3344

8005 W 110th St
Ste 214
Overland Park, KS 66210
Phone (913) 599-6677

202 E 50th St
Joplin, MO 64804
Phone (417) 556-3400

4321 Washington St
Ste 3000
Kansas City, MO 64111
Phone (816) 932-3100

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

Practitioners & affiliated clinicians

Practitioners 171

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 171

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1467400663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8005 W 110TH ST STE 214",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102619",
            "telephone_number": "913-599-6777",
            "fax_number": "913-599-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 W 74TH ST",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662044004",
            "telephone_number": "913-599-6777",
            "fax_number": "913-599-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE RADIOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "913-599-6777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "504770009",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG3913",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ4964",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100324870B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507779007",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100324870Z",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CN9669",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "503304800",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee Mission, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.