Individual provider Active NPI

Pamela M. Weinhold, MD

  • Internal Medicine Physician
  • Shawnee, KS
National Provider Identifier
1467495366
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
04-25577 Issued in KS
Practice address
7405 Renner Rd
Ku Medwest
Shawnee, KS 66217-9414
Phone
(913) 588-8400
Fax
(913) 588-8413
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 04-25577 KS Primary

Addresses

Primary practice location

7405 Renner Rd
Ku Medwest
Shawnee, KS 66217-9414

Mailing address

2330 Shawnee Mission Pkwy
Medical Administrative Services of Ku Med, Ste. 312
Westwood, KS 66205-2005
Phone (913) 588-9000

Other identifiers 8

IdentifierTypeStateIssuer
100423720BMedicaidKS
481159444OtherJAYHAWK TAX ID
31491019OtherBCBS
7501135OtherAETNA
506790OtherFIRSTGUARD
930121323OtherRR MEDICARE
10001313101OtherCHP PROVIDER NUMBER
157659XXOtherPREFERRED CARE OF NY

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
I20100429000100 KS Practitioner - Internal Medicine 7618004383 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-25577KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jayhawk Primary Care Inc Internal Medicine Current Accepting new patients
Jayhawk Primary Care Inc Internal Medicine CurrentSince Sep 1, 2002 Accepting new patients
Jayhawk Primary Care Inc Internal Medicine CurrentSince Sep 1, 2002 Accepting new patients
Jayhawk Primary Care Inc Past Accepting new patients
Jayhawk Primary Care Inc Past Accepting new patients
Jayhawk Primary Care Inc Past Accepting new patients
Jayhawk Primary Care Inc Past Accepting new patients
Jayhawk Primary Care Inc Past Accepting new patients
Jayhawk Primary Care Inc Past Accepting new patients
Jayhawk Primary Care Inc Past Accepting new patients
Jayhawk Primary Care Inc Past Accepting new patients

Locations

7405 Renner Rd
Shawnee Msn, KS 66217
Phone (913) 588-2200

Interoperability endpoints

  • Direct secure messaging: pweinhold7176@direct.kuha.org

Organizations & group practices 11

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 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jayhawk Primary Care Inc 157 clinicians

Practice addresses (Care Compare)

7405 Renner Rd
Shawnee, KS 66217-9414
Phone (913) 588-8400

Hospital & facility affiliations

  • Adventhealth Home Health Home health agency, Shawnee Mission, KS, CCN 178058
  • Phoenix Home Care Home health agency, Overland Park, KS, CCN 178077
  • Interim Healthcare of Kansas City Home health agency, Overland Park, KS, CCN 177087
  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
  • Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104
  • University of Kansas Health System Olathe Hospital Hospital, Olathe, KS, CCN 170049
  • LMH Hospital, Lawrence, KS, CCN 170137
  • Menorah Medical Center Hospital, Overland Park, KS, CCN 170182

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1467495366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 SHAWNEE MISSION PKWY",
            "address_2": "MEDICAL ADMINISTRATIVE SERVICES OF KU MED, STE. 312",
            "city": "WESTWOOD",
            "state": "KS",
            "postal_code": "662052005",
            "telephone_number": "913-588-9000",
            "fax_number": "913-588-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7405 RENNER RD",
            "address_2": "KU MEDWEST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662179414",
            "telephone_number": "913-588-8400",
            "fax_number": "913-588-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINHOLD",
        "first_name": "PAMELA",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-25577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100423720B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JAYHAWK TAX ID",
            "identifier": "481159444",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "31491019",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7501135",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTGUARD",
            "identifier": "506790",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "930121323",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHP PROVIDER NUMBER",
            "identifier": "10001313101",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE OF NY",
            "identifier": "157659XX",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

Verify at the official NPI Registry.