NPIMap

Individual provider Active NPI

Paul Piezas Pena, MD

  • Internal Medicine Physician
  • Overland Park, KS
National Provider Identifier
1497017149
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0438204 Issued in KS
Practice address
10787 Nall Ave Ste 310
Medical Plaza Internal Medicine
Overland Park, KS 66211-1301
Phone
(913) 945-6900
NPI assigned
Jun 8, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0438204 KS Primary
Internal Medicine Physician 207R00000X 9407909 KS

Addresses

Primary practice location

10787 Nall Ave Ste 310
Medical Plaza Internal Medicine
Overland Park, KS 66211-1301

Mailing address

10787 Nall Ave Ste 310
Medical Plaza Internal Medicine
Overland Park, KS 66211-1301
Phone (913) 945-6900

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
I20150805007039 KS Practitioner - Internal Medicine 9335453257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Creighton University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jayhawk Primary Care IncGroup PAC ID 8123928900, 157 clinicians

Practice addresses (Care Compare)

10787 Nall Ave
310 Medical Plaza Internal Medicine
Overland Park, KS 66211-1301
Phone (913) 945-6900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0438204KSMDInternal Medicine Physician
9407909KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jayhawk Primary Care Inc Internal Medicine CurrentSince Aug 24, 2015 Accepting new patients
Jayhawk Primary Care Inc Internal Medicine Current Accepting new patients
Jayhawk Primary Care Inc Internal Medicine CurrentSince Aug 24, 2015 Accepting new patients
Jayhawk Primary Care Inc Past Accepting new patients

Locations

10787 Nall Ave
Ste 310
Overland Park, KS 66211
Phone (913) 945-6900

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

Interoperability endpoints

  • Direct secure messaging: ppena153695@direct.kuha.org

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 12

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": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1497017149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10787 NALL AVE STE 310",
            "address_2": "MEDICAL PLAZA INTERNAL MEDICINE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111301",
            "telephone_number": "913-945-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10787 NALL AVE STE 310",
            "address_2": "MEDICAL PLAZA INTERNAL MEDICINE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111301",
            "telephone_number": "913-945-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "PAUL",
        "middle_name": "PIEZAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-08",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "0438204",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "9407909",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.