Kansas City Urology Care, P.a.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

KANSAS CITY UROLOGY CARE, P.A.

Practice address

10701 Nall Ave
Suite 100
Overland Park, KS 66211-1231

Phone

(913) 341-7985

Fax

(913) 341-7988

NPI assigned

Apr 25, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael H Burnett, MBA

Title

Coo

Phone

(913) 341-7733

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 110

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julianne Schilling Albert

  • Family Nurse Practitioner
  • Olathe, KS
  • NPI 1730854647

  MO

  Medicare reassignment Care Compare group NPD
• Ajjai Shivaram Alva, M.D.

  • Medical Oncology Physician
  • Overland Park, KS
  • NPI 1497979678

  MO

  Medicare reassignment Care Compare group NPD
• Jason William Anast, M.D.

  • Urology Physician
  • Overland Park, KS
  • NPI 1114045358

  MO

  Medicare reassignment Care Compare group NPD
• Mirian Boci, M.D.

  • Urology Physician
  • Overland Park, KS
  • NPI 1922272517

  MO

  Medicare reassignment Care Compare group NPD
• Tam Thanh Chieu, DNP

  • Nurse Practitioner
  • Merriam, KS
  • NPI 1730726084

  MO

  Medicare reassignment Care Compare group NPD
• James R. Coster, MD

  • Radiation Oncology Physician
  • Overland Park, KS
  • NPI 1730152679

  MO

  Medicare reassignment Care Compare group NPD
• Rachel Marie Effertz, FNP-C

  • Family Nurse Practitioner
  • Overland Park, KS
  • NPI 1871024711

  MO

  Medicare reassignment Care Compare group NPD
• David Eric Ewing, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Lenexa, KS
  • NPI 1083054100

  MO

  Medicare reassignment Care Compare group NPD
• Anton Galich, MD

  • Urology Physician
  • Olathe, KS
  • NPI 1487605226

  MO

  Medicare reassignment Care Compare group NPD
• Kaitlin Klein, APRN

  • Nurse Practitioner
  • Merriam, KS
  • NPI 1275330201

  MO

  Medicare reassignment Care Compare group NPD
• Terry S Lee, MD

  • Vascular & Interventional Radiology Physician
  • Shawnee Mission, KS
  • NPI 1629183884

  MO

  Medicare reassignment Care Compare group NPD
• Jeffrey Marks, MD

  • Urology Physician
  • Merriam, KS
  • NPI 1962897470

  MO

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575849600000",
    "number": "1528024676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8551 BLUEJACKET ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662141656",
            "telephone_number": "913-341-7985",
            "fax_number": "913-341-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 NALL AVE",
            "address_2": "SUITE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111231",
            "telephone_number": "913-341-7985",
            "fax_number": "913-341-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS CITY UROLOGY CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "913-341-7733",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100361650A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505100305",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505100800",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100361350B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kansas City Physician Partners, Inc.
• Kansas City Podiatry Associates, PA
• Kansas City Psychiatric Group
• Kansas City Psychiatry Partners LLC
• Kansas City Surgery Center, LLC
• Kansas City Vamc
• Kansas City Vascular & General Surgery Group LLC
• Kansas City Vascular & General Surgery Group LLC
• Kansas City Vascular Specialists Corp PA
• Kansas City Vision Performance Center

• Urology Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Urology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.