Active NPI
James Leroy Wetzel, MD
- Internal Medicine Physician
- Olathe, KS
National Provider Identifier
1609829324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0419902
- Practice address
- 20375 W 151St
Ste # 301
Olathe, KS 66061 - Phone
- (913) 782-8300
- Fax
- (913) 782-1574
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0419902 | KS | Primary |
Addresses
Primary practice location
20375 W 151St
Ste # 301
Olathe, KS 66061
Mailing address
20805 W 151St St
Suite # 224
Olathe, KS 66061-7249
Phone (913) 782-8300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100203050B | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0419902 | KS | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413158400000",
"number": "1609829324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20805 W 151ST ST",
"address_2": "SUITE # 224",
"city": "OLATHE",
"state": "KS",
"postal_code": "660617249",
"telephone_number": "913-782-8300",
"fax_number": "913-782-1574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20375 W 151ST",
"address_2": "STE # 301",
"city": "OLATHE",
"state": "KS",
"postal_code": "66061",
"telephone_number": "913-782-8300",
"fax_number": "913-782-1574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WETZEL",
"first_name": "JAMES",
"middle_name": "LEROY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2014-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KS",
"license": "0419902",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100203050B",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.