NPIMap

Individual provider Active NPI

Melissa Ann Middlemas, D.O.

  • Hospitalist Physician
  • Overland Park, KS
National Provider Identifier
1598929945
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
05-35234 Issued in KS
Practice address
5701 W 119TH St
Ste. 220
Overland Park, KS 66209-3721
Phone
(913) 498-8787
Fax
(913) 498-1744
NPI assigned
Jul 15, 2008
Last updated
Jun 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2011025937 MO
Internal Medicine Physician 207R00000X 05-35234 KS
Hospitalist Physician 208M00000X 2011025937 MO
Hospitalist Physician 208M00000X 05-35234 KS Primary

Addresses

Primary practice location

5701 W 119TH St
Ste. 220
Overland Park, KS 66209-3721

Mailing address

5701 W 119TH St
Ste. 220
Overland Park, KS 66209-3721
Phone (913) 498-8787

Other identifiers 2

IdentifierTypeStateIssuer
1598929945MedicaidMO
200742350AMedicaidKS

Other names 1

  • Melissa Ann Stevens Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110930000259 MO Practitioner - Internal Medicine 5294907903 Reassigns benefits to 1 organization
I20110930000346 KS Practitioner - Internal Medicine 5294907903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KC Hospitalists PAGroup PAC ID 2860635117, 46 clinicians

Practice addresses (Care Compare)

Overland Park, KS 66213
Phone (913) 498-8787

10500 Quivira Rd
Overland Park, KS 66215-2306
Phone (913) 498-8787

2100 SE Blue Pkwy
Lee's Summit, MO 64063-1007
Phone (913) 498-8787

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
57.27 of 100Reported as group
Quality
44.91
Improvement activities
40
Cost
44.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05-35234KSMDInternal Medicine Physician
2011025937MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KC Hospitalists, P.a. Internal Medicine CurrentSince Sep 1, 2013 Accepting new patients
Midwest Division-Oprmc LLC Past Accepting new patients
Ignite Medical Resort Overland Park LLC Past Accepting new patients
Carondelet Long Term Care Facilities Inc Past Accepting new patients

Locations

13725 Metcalf Ave
Overland Park, KS 66223
Phone (913) 777-4097

5701 W 119th St
Ste 220
Overland Park, KS 66209
Phone (816) 524-5522

7400 W 132nd St
Ste 120
Overland Park, KS 66213

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

2100 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 282-5175

Interoperability endpoints

  • Direct secure messaging: melissa.middlemas@hca2.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ignite Medical Resort Overland Park LLCOverland Park, KS, CCN 175183 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 1, 2024
Aug 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1598929945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 W 119TH ST",
            "address_2": "STE. 220",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662093721",
            "telephone_number": "913-498-8787",
            "fax_number": "913-498-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 W 119TH ST",
            "address_2": "STE. 220",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662093721",
            "telephone_number": "913-498-8787",
            "fax_number": "913-498-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLEMAS",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2011025937",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "05-35234",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2011025937",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KS",
            "license": "05-35234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598929945",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200742350A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "STEVENS",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.