Individual provider Active NPI

Emily S Minderman, M.D.

  • Obstetrics & Gynecology Physician
  • Overland Park, KS
National Provider Identifier
1528094091
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
04-31548 Issued in KS
Practice address
12200 W 106TH St
Suite 230
Overland Park, KS 66215-2305
Phone
(913) 948-9636
Fax
(913) 948-9643
NPI assigned
Jun 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 04-31548 KS Primary

Addresses

Primary practice location

12200 W 106TH St
Suite 230
Overland Park, KS 66215-2305

Mailing address

12200 W 106TH St
Suite 230
Overland Park, KS 66215-2305
Phone (913) 948-9636

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
I20051212000109 KS Practitioner - Obstetrics/Gynecology 6507887106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Vanderbilt University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Care for Women, LLCGroup PAC ID 5294826434, 26 clinicians

Practice addresses (Care Compare)

12200 W 106TH St
Suite 230
Overland Park, KS 66215-2305
Phone (913) 948-9636

Hospital & facility affiliations

  • Overland Park Reg Med Ctr Hospital, Overland Park, KS, CCN 170176

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-31548KSMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Care for Women, LLC Obstetrics & Gynecology CurrentSince Jul 5, 2024 Accepting new patients
Kansas City Women'S Clinic Obstetrics & Gynecology Past Accepting new patients

Locations

16180 W 135th St
Olathe, KS 66062

10600 Quivira Rd
Ste 320
Overland Park, KS 66215
Phone (913) 894-8500

12200 W 106th St
Ste 230
Overland Park, KS 66215
Phone (913) 948-9636

8740 Nieman Rd
Ste 306
Overland Park, KS 66214

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: emily.minderman@hca2.eclinicaldirectplus.com

Organizations & group practices 2

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 1

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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1528094091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 W 106TH ST",
            "address_2": "SUITE 230",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152305",
            "telephone_number": "913-948-9636",
            "fax_number": "913-948-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 W 106TH ST",
            "address_2": "SUITE 230",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152305",
            "telephone_number": "913-948-9636",
            "fax_number": "913-948-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINDERMAN",
        "first_name": "EMILY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "04-31548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.