Organization Active NPI

Archway Clinics LLC

  • Clinic/Center
  • Overland Park, KS
National Provider Identifier
1497531537
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ARCHWAY CLINICS LLC
Practice address
7180 W 107TH St Ste 11
Overland Park, KS 66212-2523
Phone
(224) 337-8925
Fax
(816) 912-1739
NPI assigned
Sep 5, 2023
Last updated
Nov 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Authorized official

Name
Marcus G Melesio, OWNERNPI 1609506351
Title
Owner
Phone
(224) 337-8925

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

7180 W 107TH St Ste 11
Overland Park, KS 66212-2523

Mailing address

7180 W 107TH St Ste 11
Overland Park, KS 66212-2523
Phone (224) 337-8925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240313003159 KS Part B Supplier - Clinic/Group Practice 0749626695 Receives reassigned benefits from 3 practitioners
Practice locations: Overland Park, KS

National Provider Directory

National Provider Directory

Locations

7180 W 107th St
Ste 11
Overland Park, KS 66212
Phone (816) 768-0090

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1497531537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7180 W 107TH ST STE 11",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662122523",
            "telephone_number": "224-337-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7180 W 107TH ST STE 11",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662122523",
            "telephone_number": "224-337-8925",
            "fax_number": "816-912-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHWAY CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "MELESIO",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-337-8925",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.