Individual provider Active NPI

Kenton G Kaufman, M.D.

  • Family Medicine Physician
  • Olathe, KS
National Provider Identifier
1588651970
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0430838 Issued in KS
Practice address
11164 S Noble Dr
Olathe, KS 66061-7572
Phone
(913) 829-2440
Fax
(913) 338-1311
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0430838 KS Primary

Addresses

Primary practice location

11164 S Noble Dr
Olathe, KS 66061-7572

Mailing address

PO Box 741331
Atlanta, GA 30374-1331
Phone (913) 469-0503

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kenton.kaufman@cpfc.eclinicaldirectplus.com

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
I20080513000781 KS Practitioner - Family Practice 9537123997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Sanford School of Medicine of University of South Dakota, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Overland Park Surgical Specialties LLCGroup PAC ID 9234318502, 86 clinicians
Ability KCGroup PAC ID 0143116368, 166 clinicians

Practice addresses (Care Compare)

10500 Quivira Rd
Overland Park, KS 66215-2306
Phone (913) 541-5000

10600 Mastin St
Overland Park, KS 66212-5723

3011 Baltimore Ave
Kansas City, MO 64108-3403
Phone (816) 751-7832

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Overland Park Surgical Specialties LLC Family Medicine CurrentSince Jan 1, 2013 Accepting new patients
College Park Family Care Center, P.a. Past Accepting new patients
University Health Physicians Family Medicine Past Accepting new patients

Locations

17050 W 96th St
Lenexa, KS 66219
Phone (913) 359-1771

801 N Mur Len Rd
Ste 211
Olathe, KS 66062
Phone (913) 451-2253

1803 S Ridgeview Rd
Olathe, KS 66062
Phone (913) 735-4726

11164 S Noble Dr
Olathe, KS 66061
Phone (913) 469-6447

10600 Mastin St
Ste A
Overland Park, KS 66212
Phone (913) 274-2600

11755 W 112th St
Ste 101
Overland Park, KS 66210
Phone (913) 469-0503

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

15101 Glenwood Ave
Stanley, KS 66223
Phone (913) 681-4934

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

Interoperability endpoints

  • Direct secure messaging: kenton.kaufman@hca2.eclinicaldirectplus.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.

Hospital & facility affiliations 3

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1588651970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741331",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741331",
            "telephone_number": "913-469-0503",
            "fax_number": "913-469-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11164 S NOBLE DR",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617572",
            "telephone_number": "913-829-2440",
            "fax_number": "913-338-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "KENTON",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0430838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kenton.kaufman@cpfc.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "11164 S Noble Dr",
            "city": "Olathe",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660617572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.