Individual provider Active NPI

Madison Tiley Dolan, PA-C

  • Physician Assistant
  • Leawood, KS
National Provider Identifier
1487455176
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
11500 Granada St Ste 200
Leawood, KS 66211-1453
Phone
(816) 451-4095
NPI assigned
Mar 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

11500 Granada St Ste 200
Leawood, KS 66211-1453

Mailing address

11500 Granada St Ste 200
Leawood, KS 66211-1453
Phone (816) 451-4095

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: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250902002649 MO Practitioner - Physician Assistant 8022519842 Reassigns benefits to 1 organization
I20250902002739 KS Practitioner - Physician Assistant 8022519842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care LLCGroup PAC ID 4385544600, 49 clinicians

Practice addresses (Care Compare)

11500 Granada St
Leawood, KS 66211-1453
Phone (816) 478-1230

4741 S Cochise Dr
Independence, MO 64055-6974
Phone (816) 478-1230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care LLC CurrentSince Aug 4, 2025 Accepting new patients
Eye Care, LLC CurrentSince Aug 1, 2025 Accepting new patients
Eye Care, LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

11500 Granada St
Leawood, KS 66211
Phone (816) 350-6902

11500 Granada St
Ste 200
Leawood, KS 66211
Phone (816) 451-4095

4801 S Cliff Ave
Ste 100
Independence, MO 64055
Phone (816) 350-4536

4741 S Cochise Dr
Independence, MO 64055
Phone (816) 542-2849

Interoperability endpoints

  • Direct secure messaging: madison.dolanpa.p1@direct.dvc.nextgenshare.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.

NPI Registry JSON

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1487455176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 GRANADA ST STE 200",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111453",
            "telephone_number": "816-451-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 GRANADA ST STE 200",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111453",
            "telephone_number": "816-451-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLAN",
        "first_name": "MADISON",
        "middle_name": "TILEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

Verify at the official NPI Registry.